Diagnosis of Cystic Fibrosis
How is cystic fibrosis diagnosed?
In addition to a complete medical history and physical exam, diagnostic procedures for cystic fibrosis (CF) may include:
Sweat (chloride) test. A test to measure the amount of chloride in the sweat. The test is done by placing a solution on the forearm (or the thigh, if the child is too small) and attaching electrodes. The skin is stimulated to sweat with a mild electric current, which does not cause pain or harm to your child. The sweat is collected onto a gauze pad and analyzed. Higher than normal amounts of chloride may suggest CF. The sweat test is not painful and usually causes only minor discomfort.
Genetic tests. Blood or cells taken from a cheek scraping can be tested for mutations in the CFTR gene.
As part of the doctor's assessment of CF symptoms, your child may also have these diagnostic procedures:
Blood tests. Blood tests, including pancreatic function tests, can look at infection and to see which organs may be affected.
Chest X-rays. A diagnostic test that uses invisible electromagnetic energy beams to produce images of internal tissues, bones, and organs onto film.
Pulmonary function tests. Diagnostic tests that help to measure the lungs' ability to exchange oxygen and carbon dioxide appropriately. The tests are usually done with special machines that a child must breathe into.
Sputum cultures. A diagnostic test done on the material that is coughed up from the lungs and into the mouth. A sputum culture is often done to find out if an infection is present.
Stool evaluations. These are done to measure stool fat absorption.