Cystic fibrosis

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The woman with sinusitis that never gets better, the young man with chronic bronchitis, the woman with pneumothorax and hemoptysis, the newly married man who seeks counsel because he is infertile, the college student with lifelong respiratory failure and cor pulmonale—all of these adults may have cystic fibrosis. Because many persons with this disease now survive into their adult years and a number of cases are not diagnosed until adulthood, adult cystic fibrosis presents an increasing clinical challenge to primary care physicians.