title: Cystic fibrosis presenting as acute pancreatitis and obstructive azoospermia in a young adult male with a novel mutation in the CFTR gene.
abstract: Cystic fibrosis is rare in the Asian population, and is often associated with consanguinity and rare genotypes. We report on a 23-year-old Asian man from a consanguineous pedigree referred to the regional cystic fibrosis unit after a diagnosis of congenital bilateral absence of the vas deferens during investigations for infertility. A detailed history revealed several previous episodes of acute pancreatitis. Full diagnostic appraisal showed homozygosity for a novel cystic fibrosis transmembrane conductance regulator (CFTR) gene mutation, but normal sweat test and nasal potential difference studies. An endoscopic retrograde cholangiopancreatogram (ERCP) showed chronic pancreatitis with bulky side branches. The vas deferens and the pancreas appeared exquisitely sensitive to mild CFTR dysfunction. Patients with cystic fibrosis and unexplained upper abdominal pain should be screened for pancreatitis, and consideration should be given to screening patients with idiopathic pancreatitis for mutations in the CFTR gene.
authors.affiliation: Regional Cystic Fibrosis Unit, Seacroft Hospital, Leeds, UK.
authors.forename: Steven P
authors.initials: SP
authors.lastname: Conway
authors.forename: Daniel G
authors.initials: DG
authors.lastname: Peckham
authors.forename: Carol E
authors.initials: CE
authors.lastname: Chu
authors.forename: Lucy A
authors.initials: LA
authors.lastname: Ellis
authors.forename: Mushtaq
authors.initials: M
authors.lastname: Ahmed
authors.forename: Graham R
authors.initials: GR
authors.lastname: Taylor
mesh_terms: D000208:Acute Disease; D000328:Adult; D002760:Cholangiopancreatography, Endoscopic Retrograde; D003241:Consanguinity; D003550:Cystic Fibrosis / Q000175:diagnosis* / Q000235:genetics; D019005:Cystic Fibrosis Transmembrane Conductance Regulator / Q000235:genetics*; D006801:Humans; D008297:Male; D009154:Mutation; D009845:Oligospermia / Q000209:etiology*; D010195:Pancreatitis / Q000209:etiology*
chemical_list: C505032:CFTR protein, human; D019005:Cystic Fibrosis Transmembrane Conductance Regulator