NEONATAL JAUNDICE – A RARE FORM OF CYSTIC FIBROSIS

<p>Background. Cystic fibrosis is an autosomal recessive disorder that results in damage to organs containing secretory epithelial cells. It predominantly affects respiratory tract and pancreatic function. While hepatobiliary system is frequently affected in older children with cystic fibrosis...

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Main Authors: Nataša Milivojevič, Marjeta Sedmak, Gordana Logar-Car
Format: Article
Language:English
Published: Slovenian Medical Association 2003-04-01
Series:Zdravniški Vestnik
Subjects:
Online Access:http://vestnik.szd.si/index.php/ZdravVest/article/view/1822
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author Nataša Milivojevič
Marjeta Sedmak
Gordana Logar-Car
author_facet Nataša Milivojevič
Marjeta Sedmak
Gordana Logar-Car
author_sort Nataša Milivojevič
collection DOAJ
description <p>Background. Cystic fibrosis is an autosomal recessive disorder that results in damage to organs containing secretory epithelial cells. It predominantly affects respiratory tract and pancreatic function. While hepatobiliary system is frequently affected in older children with cystic fibrosis, in neonatal period jaundice caused by cystic fibrosis is a rare condition. Two cases were identified in the last ten years (1988–98) in the Department of Pediatrics University Medical Centre Ljubljana.</p><p>Patients and methods. We present two patients with neonatal jaundice as one of the rare features of cystic fibrosis. Laboratory evidences of cholestasis and liver involvement were present in both cases. In the first case, an improvement of a liver disease occured spontaneously and in the second case the resolution of clinical and laboratory evidence of liver disease followed after she had been treated with ursodeoxycholic acid.</p><p>Conclusions. Neonatal jaundice and cholestasis can be caused by cystic fibrosis. The treatment is conservative with ursodeoxycholic acid. Only in the cases when the disease is not improving conservatively, the surgical procedure can be considered.<br /><br /></p>
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spelling doaj.art-ce1cf29257114b00967228df7282e4a82022-12-21T22:42:39ZengSlovenian Medical AssociationZdravniški Vestnik1318-03471581-02242003-04-017241335NEONATAL JAUNDICE – A RARE FORM OF CYSTIC FIBROSISNataša Milivojevič0Marjeta Sedmak1Gordana Logar-Car2Inštitut za patološko fiziologijo Medicinska fakulteta Zaloška 4 1000 LjubljanaSlužba za gastroenterologijo Pediatrična klinika Klinični center Vrazov trg 1 1525 LjubljanaSlužba za gastroenterologijo Pediatrična klinika Klinični center Vrazov trg 1 1525 Ljubljana<p>Background. Cystic fibrosis is an autosomal recessive disorder that results in damage to organs containing secretory epithelial cells. It predominantly affects respiratory tract and pancreatic function. While hepatobiliary system is frequently affected in older children with cystic fibrosis, in neonatal period jaundice caused by cystic fibrosis is a rare condition. Two cases were identified in the last ten years (1988–98) in the Department of Pediatrics University Medical Centre Ljubljana.</p><p>Patients and methods. We present two patients with neonatal jaundice as one of the rare features of cystic fibrosis. Laboratory evidences of cholestasis and liver involvement were present in both cases. In the first case, an improvement of a liver disease occured spontaneously and in the second case the resolution of clinical and laboratory evidence of liver disease followed after she had been treated with ursodeoxycholic acid.</p><p>Conclusions. Neonatal jaundice and cholestasis can be caused by cystic fibrosis. The treatment is conservative with ursodeoxycholic acid. Only in the cases when the disease is not improving conservatively, the surgical procedure can be considered.<br /><br /></p>http://vestnik.szd.si/index.php/ZdravVest/article/view/1822cystic fibrosisneonatal jaundiceneonatal cholestasis
spellingShingle Nataša Milivojevič
Marjeta Sedmak
Gordana Logar-Car
NEONATAL JAUNDICE – A RARE FORM OF CYSTIC FIBROSIS
Zdravniški Vestnik
cystic fibrosis
neonatal jaundice
neonatal cholestasis
title NEONATAL JAUNDICE – A RARE FORM OF CYSTIC FIBROSIS
title_full NEONATAL JAUNDICE – A RARE FORM OF CYSTIC FIBROSIS
title_fullStr NEONATAL JAUNDICE – A RARE FORM OF CYSTIC FIBROSIS
title_full_unstemmed NEONATAL JAUNDICE – A RARE FORM OF CYSTIC FIBROSIS
title_short NEONATAL JAUNDICE – A RARE FORM OF CYSTIC FIBROSIS
title_sort neonatal jaundice a rare form of cystic fibrosis
topic cystic fibrosis
neonatal jaundice
neonatal cholestasis
url http://vestnik.szd.si/index.php/ZdravVest/article/view/1822
work_keys_str_mv AT natasamilivojevic neonataljaundicearareformofcysticfibrosis
AT marjetasedmak neonataljaundicearareformofcysticfibrosis
AT gordanalogarcar neonataljaundicearareformofcysticfibrosis