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Vol. 14. Issue 1.
Pages 89-112 (January - February 2008)
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Vol. 14. Issue 1.
Pages 89-112 (January - February 2008)
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Fibrose quística: Revisão
Cystic fibrosis: Review
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1162
C. Damas1,
, A. Amorim2, I. Gomes3, V.P. Hespanhol4
1 Interna complementar de pneumologia
2 Assistente hospitalar de pneumologia
3 Assistente hospitalar graduada de pneumologia
4 Serviço de Pneumologia do Hospital de São João, Porto Alameda Hernâni Monteiro 4200 Porto
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Resumo

A fibrose quística (FQ) é a doença autossómica recessiva mais frequente na raça caucasiana. Caracteriza-se por mutações na CFTR, uma proteína transmembranar responsável pelo transporte de cloretos. Esta proteína tem uma ampla distribuição epitelial, o que dá um carácter sistémico a esta doença e consequentemente múltiplas manifestações clínicas de gravidade variável. A melhoria dos cuidados de saúde, associada ao desenvolvimento do arsenal terapêutico, permitiu um aumento da sobrevida destes doentes, de tal forma que a FQ já não pode ser abordada como doença da idade pediátrica. Também a evolução técnica na transplantação abriu novas perspectivas quanto ao tratamento desta afecção.

Assim, cada vez mais esta patologia implica um envolvimento multidisciplinar no qual a pneumologia tem uma parte preponderante.

Palavras-chave:
Fibrose quística
revisão
Abstract

Cystic Fibrosis (CF) is the recessive autossomic disease more frequent in the caucasian race. The main characteristic is a mutation in CFTR, a trans-membranar protein, responsible for chlorates transportation. This protein has a diffuse epithelial distribution, which gives a multissistemic involvement to this disease, with clinical manifestations with variable degrees of severity. The development of better health care associated with new therapeutic options became responsible for an increase of survival, so CF is no longer a paediatric disease. Lung transplantation also has an important role, bringing new treatment perspectives.

So, this pathology has an increased multi-disciplinary involvement in which the pulmonologist have a preponderant role.

Key-words:
Cystic fibrosis
review
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