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Re: Borderline Sweat Test

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Hi Angie,

borderline sweat tests are not so rare with CF as some doctors think.

But still CF is a rare disease (1 in 2.500 births), so there is a

good chance that your son's problems are something else and less

severe.

One question is, what kind of lung infections does your son have?

Bacterial infections with bugs like pseudomonas aeruginosa or

staphylococcus aureus are typical for CF kids and very unusual for

other kids so young.

Peace and good luck

Torsten, dad of Fiona 6wcf and Sebastian 9mo wocf

BTW Happy Birthday to CFparents!! The list is 5 years old as of today!

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WELL HI ,

I Haven't seen you on line in along time. How are you & that lovely

growing family . It does

keep you busy, doesn't it ? BUT, they are truly so much fun. It was nice

to see your post.

Have wonderful weekend.

LOVE & HUGS<

GrandmomBEV

Re: Borderline Sweat Test

Hi Angie,

borderline sweat tests are not so rare with CF as some doctors think.

But still CF is a rare disease (1 in 2.500 births), so there is a

good chance that your son's problems are something else and less

severe.

One question is, what kind of lung infections does your son have?

Bacterial infections with bugs like pseudomonas aeruginosa or

staphylococcus aureus are typical for CF kids and very unusual for

other kids so young.

Peace and good luck

Torsten, dad of Fiona 6wcf and Sebastian 9mo wocf

BTW Happy Birthday to CFparents!! The list is 5 years old as of today!

-------------------------------------------

The opinions and information exchanged on this list should IN NO WAY

be construed as medical advice.

PLEASE CONSULT YOUR PHYSICIAN BEFORE CHANGING ANY MEDICATIONS OR TREATMENTS.

------------------------------------

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Dear Angie-

Welcome. While we hope that you don't have to become a member of

our 'club' here, we will help you in any way we can with information

and support.

A 46 is rather borderline but your son's other symptoms are a bit

more troubling. Unfortunately, because cf is still a rather rare

disease,many pediatricians do not see a lot of it and are somewhat

unfamiliar with some of the more elusive symptoms like weight issues

etc. The repeated lung infections are a concern. On that basis

alone, I think I would ask the pediatrician to authorize a cf gene

test at a local cf center. While those tests aren't always 100%

definitive, they tend to be much more reliable than the sweat test.

Where do you live? You can go onto the cff website at www.cff.org

and find a list of local cf care centers.

I have a nine year old too and I know how much you must be

worrying. Keep us informed and ask as many questions as you'd like

to.

Debi

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I would opt for a repeat sweat test and hope that it comes back normal ...

but I would want to make sure it was done through an accredited/certified CF

Center.

My son (now 17 with CF) had a borderline sweat test ( " in the grey area " ,

they called it ...not CF but not normal range, either). It was done at a

smaller hospital that had a small CF clinic but the hospital did not use the

best type of test available (reliability of different brands and types of

equipment for sweat tests vary) and the technician was inexperienced and did

not do the test properly ... did not take as many readings as she should

have considering the results she was getting, among other things.

We insisted on going to a large CF Center for a repeat sweat test and got

results we did not want but needed. A third test at the larger center

confirmed the second one, and confirmed the CF diagnosis. Even the CF Center

seemed surprised with the diagnosis because my son 'appeared so healthy'. He

was still on the weight charts (but he had plateaued in weight and was

having frequent, explosive bowels movements, appeared to be in pain after

feeding, and had a salty aftertaste if I licked his forehead ... all things

our family doctor told me were 'normal').

He did not start having serious lung infections until he was about 12 - but

had some staph infections earlier that were kept under control with

continuous oral antibiotics.

I do not want to scare you but I do want to make sure you can trust the

sweat test. I think there are many who will echo that it should be done at a

CF Center to increase the chances of it being reliable.

Best of luck. I will hope for a negative sweat test but also hope your son

can find a solution for the problems he is experiencing.

M

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No surprise that I agree with ; they did four: two on each arm on me,

and then a repeat two weeks later, and then the first dna tests when availab

le, just found out what I had always known--cystic fibrosis, but you do not want

to be in doubt, if that is possible! I, too, would opt for a cf center; with

a letter of recommendation from the child's physician, this is free in Califor

nia--the sweat test, not the dna test! Good luck, n Rojas

Re: Borderline Sweat Test

I would opt for a repeat sweat test and hope that it comes back normal ...

but I would want to make sure it was done through an accredited/certified CF

Center.

My son (now 17 with CF) had a borderline sweat test ( " in the grey area " ,

they called it ...not CF but not normal range, either). It was done at a

smaller hospital that had a small CF clinic but the hospital did not use the

best type of test available (reliability of different brands and types of

equipment for sweat tests vary) and the technician was inexperienced and did

not do the test properly ... did not take as many readings as she should

have considering the results she was getting, among other things.

We insisted on going to a large CF Center for a repeat sweat test and got

results we did not want but needed. A third test at the larger center

confirmed the second one, and confirmed the CF diagnosis. Even the CF Center

seemed surprised with the diagnosis because my son 'appeared so healthy'. He

was still on the weight charts (but he had plateaued in weight and was

having frequent, explosive bowels movements, appeared to be in pain after

feeding, and had a salty aftertaste if I licked his forehead ... all things

our family doctor told me were 'normal').

He did not start having serious lung infections until he was about 12 - but

had some staph infections earlier that were kept under control with

continuous oral antibiotics.

I do not want to scare you but I do want to make sure you can trust the

sweat test. I think there are many who will echo that it should be done at a

CF Center to increase the chances of it being reliable.

Best of luck. I will hope for a negative sweat test but also hope your son

can find a solution for the problems he is experiencing.

M

-------------------------------------------

The opinions and information exchanged on this list should IN NO WAY

be construed as medical advice.

PLEASE CONSULT YOUR PHYSICIAN BEFORE CHANGING ANY MEDICATIONS OR TREATMENTS.

------------------------------------

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Dear Angie,

No problem, we let anyone join, don't we? LOL. Now I know this isn't funny. I

think you should ask to have your son genetically tested. Why wait until April

for another sweat test? I personally would go nuts waiting that long. The

genetic test only takes about 2 weeks to come back and if sent to Ambry will be

as accurate as it gets. Good luck and I hope your son doesn't have cf too. But

like I told the last person waiting for a diagnosis, it isn't the worst thing in

the world. My daughter is 20 and doing great. We have 2 senior citizens on this

very list. Do let us know what happens.

love,

M

mom of Nick age 21 nocf and age 20 wcf

PS I like your name :)

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In a message dated 2/15/2004 9:59:08 PM Central Standard Time,

angim74@... writes:

What was going on to make your pediatrician suspect CF?

What were your child's symptoms? Just a quick question....I also

have two other younger children....if one is diagnosed, do they generally

test the other children?

Angie

Yes my oldest who was 6 at the time when she was diagnosed and when she had a

positive sweat test they asked us if we wanted the other two tested and I

said I am almost sure that our youngest has it. I was not even going to have my

middle child tested but I think I wanted that peace of mind knowing in fact she

did not have CF so I had her tested too. So it is your choice but I would

just to make sure. Deb A

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> > In California, that is considered " likely diagnostic " for cf as

the average of 20-25 is so much lower than that. No one wants a

child to have cf

I never knew that (average is 20-25)

jan

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