Pediatric and Developmental Pathology

, Volume 6, Issue 1, pp 88–93

Cystic Fibrosis and Chiari Type I Malformation: Autopsy Study of Two Infants with a Rare Association

Authors

  • Dinesh Rakheja
    • Department of Pathology, University of Texas Southwestern Medical School, 5323 Harry Hines Boulevard, Dallas, TX 75390-9073, USA
  • Yin Xu
    • Department of Pathology, University of Texas Southwestern Medical School, 5323 Harry Hines Boulevard, Dallas, TX 75390-9073, USA
  • Dennis K. Burns
    • Department of Pathology, University of Texas Southwestern Medical School, 5323 Harry Hines Boulevard, Dallas, TX 75390-9073, USA
  • Daniel L. Veltkamp
    • Department of Radiology, University of Texas Southwestern Medical School and Children's Medical Center of Dallas, 1935 Motor Street, Dallas, TX 75235, USA
  • Linda R. Margraf
    • Department of Pathology, University of Texas Southwestern Medical School, 5323 Harry Hines Boulevard, Dallas, TX 75390-9073, USA

DOI: 10.1007/s10024-002-0021-1

Cite this article as:
Rakheja, D., Xu, Y., Burns, D. et al. Pediatr. Dev. Pathol. (2003) 6: 88. doi:10.1007/s10024-002-0021-1
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Cystic fibrosis (CF), an epithelial cell transport disorder caused by mutations of the cystic fibrosis transmembrane conductance regulator (CFTR) gene, is not generally associated with malformations of the central nervous system (CNS). This report describes two African-American children who died at less than 2 years of age with known Chiari I malformations and were found, unexpectedly at autopsy, to have the classic pancreatic and respiratory changes of CF. Both patients had suffered from failure to thrive that had been attributed to their CNS malformations. One child also had recurrent pneumonia and died with Pseudomonas sepsis. Mutational analysis for > 70 common CFTR mutations identified a single delta F508 mutation in one patient and a single 3120+1G to A mutation in the other. Their second CFTR mutations were not identified. The association of CF with Chiari I malformation is not likely to be purely coincidental, as the probability of such an occurrence in African-Americans is greater than one in 7,500,000 patients. It is possible that the CFTR gene may play a previously unrecognized role in CNS development. Alternatively, this CNS abnormality may be acquired due to the metabolic and electrolyte imbalances that characteristically occur in CF.

Copyright information

© 2002 Society for Pediatric Patho logy