MYERS M F
Can Med Assoc J. 1965 Apr 24;92(17):926-7.
Sweat chlorides of 10 sets of parents of children with cystic fibrosis and 11 controls were studied in an attempt to develop a test for the diagnosis of cystic fibrosis heterozygotes by subjecting both the parents and controls to a low sodium diet and comparing sweat chloride values as the diet progressed. It was hoped that the sweat chloride levels of the parents, the heterozygotes, would remain stationary throughout the diet, since their children, the homozygotes, reveal this finding under similar conditions of salt deprivation. The sweat chloride levels of the controls, because of effects of aldosterone, were expected to decrease steadily from the commencement of the diet to its termination.A decrease in sweat chloride values of similar magnitude was found in both parents and controls as the diet continued. It is concluded that the study of sweat electrolyte levels in salt-deprived subjects is of no value in the diagnosis of cystic fibrosis heterozygotes.
对10组囊性纤维化患儿的父母及11名对照者的汗液氯化物进行了研究,试图通过让父母和对照者都采用低钠饮食,并在饮食过程中比较汗液氯化物值,来开发一种诊断囊性纤维化杂合子的检测方法。人们希望,父母(即杂合子)的汗液氯化物水平在整个饮食过程中保持稳定,因为他们的孩子(即纯合子)在类似的缺盐条件下会出现这一情况。由于醛固酮的作用,预计对照者的汗液氯化物水平从饮食开始到结束会稳步下降。随着饮食的持续,父母和对照者的汗液氯化物值都出现了类似幅度的下降。结论是,在缺盐受试者中研究汗液电解质水平对诊断囊性纤维化杂合子没有价值。