CHARLES ANDREWS, M.D.; MARTIN MANGO, M.D.; ROCCO C. VENUTO, M.D., F.A.C.P.
To the editor: Stern and co-workers (1) have reviewed the adolescent and adult presentation of cystic fibrosis in the August issue (Ann Intern Med 87:188-191, 1977). An adult male was recently discovered to have cystic fibrosis after a unique clinical presentation not mentioned in the review article.
A 42-year-old white man came to the emergency room complaining of several days of profuse sweating, muscle cramps, extreme thirst, and abdominal pain. These symptoms occurred during a period of sustained high ambient temperatures. He was consuming from three to five litres of water, beer, and fruit juices daily. He denied vomiting, diarrhea,
ANDREWS C, MANGO M, VENUTO RC. Cystic Fibrosis in Adults. Ann Intern Med. ;88:128–129. doi: 10.7326/0003-4819-88-1-128_3
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Published: Ann Intern Med. 1978;88(1):128-129.
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