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Occurrence possible only at adult age?

Question
Is it possible that it occurs only at adult age (38) with symptoms in the mornings with cough until nearly vomiting, over the day dry cough, x-ray of the thorax without pathological finding, loss of weight, blood values and allergy test all without pathological findings, no other findings, improvement during stay in the mountains?
Answer
Hello,
in general it is possible, there are some patients who often have a milder course mostly without involvement of the pancreas, and who are diagnosed at older age. If there is the suspicion and other freuquent illnesses likeaAsthma and COPD have been excluded, one should consider this possiblitiy and initiate respective investigations. A sweat test would here be at first the fastest and cheapest investigation.

Best regards,
Prof. J. Bargon
26.05.2014