Primary ciliary dyskinesia: age at diagnosis and symptom history

Age at diagnosis and the Symptom history of children with primary ciliary dyskinesia (PCD) are described by reviewing the case notes in the paediatric PCD clinic. Mean age at diagnosis was 4.4 y despite a history of neonatal respirators distress in 37/55 cases. situs inversus in 38155 cases and early onset troublesome rhinitis in 42/55. Conclusion: Diagnosis of PCD is often delayed despite the presence of typical symptoms early in life. The key clinical features of unexplained neonatal respirator, distress, early onset rhinitis, situs inversus and a productive cough are highlighted, which, especially when occurring in combination. makes early referral for specific testing for PCD mandatory.