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Respiratory
Cystic Fibrosis
CF Pathophysiology
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Hiri P
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Pathophysiology – lungs:
Pulmonary
function
normal
at birth
Decrease
in
height
of
peri-ciliary
layer ->
mucus plugging
Mucus
leads to
bronchial obstruction
&
inflammatory
response → vicious
cycle
of
infection
&
persistent inflammation
→
bronchiectasis
and
irreversible
damage
Inflammation
present at a very
early
age in infants and children with
CF
who have minimal or no evidence of lung disease
Pathophysiology – lungs:
Predominantly
affected
in
upper lobes
Areas of
consolidation
(due to
inflammation
) and
atelectasis
(due to
mucus plugging
)
Formation of
cysts
Alveoli
relatively
spared
Obstructive
disease as the airways are getting
narrowed
due to
sputum
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