A TEST FOR CONCENTRATION OF ELECTROLYTES IN SWEAT IN CYSTIC FIBROSIS OF THE PANCREAS UTILIZING PILOCARPINE BY IONTOPHORESIS
Abstract
A method of performing the test for chloride or sodium in the sweat of patients with cystic fibrosis of the pancreas is presented. It utilizes pilocarpine by iontophoresis and has the advantage of being both rapid and painless. Data are presented to show that the method is reliable.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Sweat testing has historically been used in applications ranging from medical diagnosis of cystic fibrosis and autonomic neuropathy to assessment of fluid and electrolyte balance in endurance athletes.
“Sweat testing has historically been used in applications ranging from medical diagnosis of cystic fibrosis and autonomic neuropathy to assessment of fluid and electrolyte balance in endurance athletes (6–10).”
From Regional and correlative sweat analysis using high-throughput microfluidic sensing patches toward decoding sweat (2019) · cites this paper as [6]
Sweat behaviors of only a few analytes, including ethanol and chloride, have been extensively investigated and related to blood concentrations or health status.
“Sweat behaviors of only a few analytes, including ethanol and chloride, have been extensively investigated and related to blood concentrations or health status (6, 8, 27, 35).”
From Regional and correlative sweat analysis using high-throughput microfluidic sensing patches toward decoding sweat (2019) · cites this paper as [6]
During iontophoresis, the cationic pilocarpine drug was delivered across the skin at the anode electrode.
“During the iontophoresis operation, the cationic pilocarpine drug was delivered across the skin at the anode electrode (Figure 1D).32”
From Noninvasive Alcohol Monitoring Using a Wearable Tattoo-Based Iontophoretic-Biosensing System (2016) · cites this paper as [32]
Pilocarpine can influence the electron shuttling activity of PB due to the vulnerability of PB against other positive ions in electrolytes.
“Pilocarpine is a large positively charged molecule, and the electron shuttling activity of PB can be influenced by pilocarpine due to the vulnerability of PB against other positive ions in electrolytes.32”
From Noninvasive Alcohol Monitoring Using a Wearable Tattoo-Based Iontophoretic-Biosensing System (2016) · cites this paper as [32]
Cited by
Sorted by citations
Wearable biosensors for healthcare monitoring
Kim, J., Campbell, A. S., de Ávila, B. E.-F., & Wang, J. (2019) · Nature Biotechnology · doi:10.1038/s41587-019-0045-y · Cited by 3,373 · see citing works
Bio-Integrated Wearable Systems: A Comprehensive Review
Ray, T. R., Choi, J., Bandodkar, A. J., Krishnan, S., Gutruf, P., Tian, L., Ghaffari, R., & Rogers, J. A. (2019) · Chemical Reviews · doi:10.1021/acs.chemrev.8b00573 · Cited by 1,350 · see citing works
Farrell, P. M., Rosenstein, B. J., White, T. B., Accurso, F. J., Castellani, C., Cutting, G. R., Durie, P. R., LeGrys, V. A., Massie, J., Parad, R. B., et al. (2008) · The Journal of Pediatrics · doi:10.1016/j.jpeds.2008.05.005 · Cited by 1,077 · see citing works
The future of cystic fibrosis care: a global perspective
Bell, S. C., Mall, M. A., Gutierrez, H., Macek, M., Madge, S. L., Davies, J. C., Burgel, P., Tullis, E., Castaños, C., Castellani, C., et al. (2019) · The Lancet Respiratory Medicine · doi:10.1016/s2213-2600(19)30337-6 · Cited by 1,042 · see citing works
Mutations of the Cystic Fibrosis Gene in Patients with Chronic Pancreatitis
SHARER, N. H., Schwarz, M. J., Malone, G., Howarth, A., Painter, J. E., Super, M., & Braganza, J. M. (1998) · New England Journal of Medicine · doi:10.1056/nejm199809033391001 · Cited by 945 · see citing works
Emaminejad, S., Gao, W., Wu, E., Davies, Z. A., Yin Yin Nyein, H., Challa, S., Ryan, S. P., Fahad, H. M., Chen, K., Shahpar, Z., et al. (2017) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1701740114 · Cited by 839 · see citing works
Cystic fibrosis: molecular biology and therapeutic implications
Collins, F. (1992) · Science · doi:10.1126/science.1375392 · Cited by 824 · see citing works
Physiology of sweat gland function: The roles of sweating and sweat composition in human health
Baker, L. B. (2019) · Temperature · doi:10.1080/23328940.2019.1632145 · Cited by 732 · see citing works
“in 1953 [165]; and subsequently, a standardized sweat test (Quantitative Pilocarpine Iontophoretic Test) was developed by Gibson and Cooke in 1959 [166].”
MethodTransdermal drug delivery: overcoming the skin’s barrier function
Naik, A., Kalia, Y. N., & Guy, R. H. (2000) · Pharmaceutical Science & Technology Today · doi:10.1016/s1461-5347(00)00295-9 · Cited by 719 · see citing works
Davis, P. B. (2005) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.200505-840oe · Cited by 660 · see citing works
Sosnay, P. R., Siklosi, K. R., Van Goor, F., Kaniecki, K., Yu, H., Sharma, N., Ramalho, A. S., Amaral, M. D., Dorfman, R., Zielenski, J., et al. (2013) · Nature Genetics · doi:10.1038/ng.2745 · Cited by 630 · see citing works
Noninvasive Alcohol Monitoring Using a Wearable Tattoo-Based Iontophoretic-Biosensing System
Kim, J., Jeerapan, I., Imani, S., Cho, T. N., Bandodkar, A., Cinti, S., Mercier, P. P., & Wang, J. (2016) · ACS Sensors · doi:10.1021/acssensors.6b00356 · Cited by 599 · see citing works
Dekkers, J. F., Berkers, G., Kruisselbrink, E., Vonk, A., de Jonge, H. R., Janssens, H. M., Bronsveld, I., van de Graaf, E. A., Nieuwenhuis, E. E. S., Houwen, R. H. J., et al. (2016) · Science Translational Medicine · doi:10.1126/scitranslmed.aad8278 · Cited by 548 · see citing works
“2F) (20, 21) compared to the residual CFTR function detected at other forskolin concentrations (Fig.”
BackgroundSimultaneous Monitoring of Sweat and Interstitial Fluid Using a Single Wearable Biosensor Platform
Kim, J., Sempionatto, J. R., Imani, S., Hartel, M. C., Barfidokht, A., Tang, G., Campbell, A. S., Mercier, P. P., & Wang, J. (2018) · Advanced Science · doi:10.1002/advs.201800880 · Cited by 525 · see citing works
Pulmonary Emphysema and Alpha1‐Antitrypsin Deficiency
Eriksson, S. (1964) · Acta Medica Scandinavica · doi:10.1111/j.0954-6820.1964.tb00567.x · Cited by 467 · see citing works
Efficacy of Aerosolized Tobramycin in Patients with Cystic Fibrosis
Ramsey, B. W., Dorkin, H. L., Eisenberg, J. D., Gibson, R. L., Harwood, I. R., Kravitz, R. M., Schidlow, D. V., Wilmott, R. W., Astley, S. J., McBurnie, M. A., et al. (1993) · New England Journal of Medicine · doi:10.1056/nejm199306173282403 · Cited by 455 · see citing works
Highsmith, W. E., Burch, L. H., Zhou, Z., Olsen, J. C., Boat, T. E., Spock, A., Gorvoy, J. D., Quittell, L., Friedman, K. J., Silverman, L. M., et al. (1994) · New England Journal of Medicine · doi:10.1056/nejm199410133311503 · Cited by 441 · see citing works
Role of CFTR in epithelial physiology
Saint-Criq, V., & Gray, M. A. (2017) · Cellular and Molecular Life Sciences · doi:10.1007/s00018-016-2391-y · Cited by 433 · see citing works
“diagnostic purposes [220, 221].”
Physiological Basis of Cystic Fibrosis: A Historical Perspective
QUINTON, P. M. (1999) · Physiological Reviews · doi:10.1152/physrev.1999.79.1.s3 · Cited by 405 · see citing works
Baker, L. B. (2017) · Sports Medicine · doi:10.1007/s40279-017-0691-5 · Cited by 403 · see citing works
“Pilocarpine iontophoresis was standardized by Gibson and Cooke in 1959 (Quantitative Pilocarpine Iontophoretic Test [or QPIT] method [89]).”
MethodWearable Sensors for Biochemical Sweat Analysis
Bandodkar, A. J., Jeang, W. J., Ghaffari, R., & Rogers, J. A. (2019) · Annual Review of Analytical Chemistry · doi:10.1146/annurev-anchem-061318-114910 · Cited by 387 · see citing works
Cystic fibrosis: terminology and diagnostic algorithms
Boeck, K. D. (2005) · Thorax · doi:10.1136/thx.2005.043539 · Cited by 387 · see citing works
“The development of the quantitative pilocarpine iontophoresis by Gibson and Cooke dates from 1959 and is still the test of choice (18).”
BackgroundMethodNyein, H. Y. Y., Bariya, M., Kivimäki, L., Uusitalo, S., Liaw, T. S., Jansson, E., Ahn, C. H., Hangasky, J. A., Zhao, J., Lin, Y., et al. (2019) · Science Advances · doi:10.1126/sciadv.aaw9906 · Cited by 388 · see citing works
di Sant'Agnese, P. A., & Davis, P. B. (1979) · The American Journal of Medicine · doi:10.1016/0002-9343(79)90491-1 · Cited by 355 · see citing works
Physiological mechanisms determining eccrine sweat composition
Baker, L. B., & Wolfe, A. S. (2020) · European Journal of Applied Physiology · doi:10.1007/s00421-020-04323-7 · Cited by 353 · see citing works
“, pilocarpine or methacholine) transdermally to stimulate the muscarinic receptors on the sweat glands (Gibson and Cooke 1959; Webster 1983).”
BackgroundDean, M. C., White, M. B., Amos, J. A., Gerrard, B., Stewart, C., Khaw, K., & Leppert, M. (1990) · Cell · doi:10.1016/0092-8674(90)90196-l · Cited by 343 · see citing works
Choi, J., Kang, D., Han, S., Kim, S. B., & Rogers, J. A. (2017) · Advanced Healthcare Materials · doi:10.1002/adhm.201601355 · Cited by 317 · see citing works
ALTERNATE-DAY PREDNISONE REDUCES MORBIDITY AND IMPROVES PULMONARY FUNCTION IN CYSTIC FIBROSIS
Auerbach, H. S., Kirkpatrick, J., Williams, M., et al. (1985) · The Lancet · doi:10.1016/s0140-6736(85)92929-0 · Cited by 303 · see citing works
Testing for drugs of abuse in saliva and sweat
Kidwell, D. A., Holland, J. C., & Athanaselis, S. (1998) · Journal of Chromatography B Biomedical Sciences and Applications · doi:10.1016/s0378-4347(97)00572-0 · Cited by 300 · see citing works
Surfactant replacement therapy for adult respiratory distress syndrome in children
Evans, D. A., Wilmott, R. W., & Whitsett, J. A. (1996) · Pediatric Pulmonology · doi:10.1002/(sici)1099-0496(199605)21:5 · Cited by 19 · see citing works
A wearable electrochemical sensor for the real-time measurement of sweat sodium concentration
Schazmann, B., Morris, D., Slater, C., Beirne, S., Fay, C., Reuveny, R., Moyna, N., & Diamond, D. (2010) · Analytical Methods · doi:10.1039/b9ay00184k · Cited by 286 · see citing works
Cystic Fibrosis Transmembrane Conductance Regulator Function Is Suppressed in Cigarette Smokers
Cantin, A. M., Hanrahan, J. W., Bilodeau, G., Ellis, L. E., Dupuis, A., Liao, J., Zielenski, J., & Durie, P. R. (2006) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.200508-1330oc · Cited by 279 · see citing works
“Measurement of sweat chloride concentration was performed by the quantitative pilocarpine iontophoresis method of Gibson and Cooke (15).”
MethodHodson, M., Penketh, A., & Batten, J. C. (1981) · The Lancet · doi:10.1016/s0140-6736(81)90588-2 · Cited by 277 · see citing works
Optical halide sensing using fluorescence quenching: theory, simulations and applications - a review
Geddes, C. D. (2001) · Measurement Science and Technology · doi:10.1088/0957-0233/12/9/201 · Cited by 272 · see citing works
Wang, X. (2000) · JAMA · doi:10.1001/jama.284.14.1814 · Cited by 270 · see citing works
Regelmann, W. E., Elliott, G. R., Warwick, W. J., & Clawson, C. C. (1990) · American Review of Respiratory Disease · doi:10.1164/ajrccm/141.4_pt_1.914 · Cited by 261 · see citing works
Distinct spectrum of CFTR gene mutations in congenital absence of vas deferens
Dörk, T., Dworniczak, B., Aulehla‐Scholz, C., et al. (1997) · Human Genetics · doi:10.1007/s004390050518 · Cited by 256 · see citing works
“Sweat electrolytes were then measured in some cases by pilocarpine iontophoresis according to established methods (Gibson and Cooke 1959).”
MethodKarpova, E. V., Shcherbacheva, E. V., Galushin, A. A., Vokhmyanina, D. V., Karyakina, E. E., & Karyakin, A. A. (2019) · Analytical Chemistry · doi:10.1021/acs.analchem.8b05928 · Cited by 246 · see citing works
Glucose tolerance in patients with cystic fibrosis: five year prospective study
Lanng, S., Hansen, A., Thorsteinsson, B., et al. (1995) · BMJ · doi:10.1136/bmj.311.7006.655 · Cited by 241 · see citing works
Abman, S. H., Ogle, J. W., Butler–Simon, N., Rumack, C. M., & Accurso, F. J. (1988) · The Journal of Pediatrics · doi:10.1016/s0022-3476(88)80008-8 · Cited by 236 · see citing works
Wilschanski, M. A., Zielenski, J., Markiewicz, D., Tsui, L., Corey, M. L., Levison, H., & Durie, P. R. (1995) · The Journal of Pediatrics · doi:10.1016/s0022-3476(95)70157-5 · Cited by 230 · see citing works
Ramsey, B. W., Astley, S. J., Aitken, M. L., Burke, W., Colin, A. A., Dorkin, H. L., Eisenberg, J. D., Gibson, R. L., Harwood, I. R., Schidlow, D. V., et al. (1993) · American Review of Respiratory Disease · doi:10.1164/ajrccm/148.1.145 · Cited by 230 · see citing works
Iontophoretic delivery of drugs: Fundamentals, developments and biomedical applications
Banga, A. K., & Chien, Y. W. (1988) · Journal of Controlled Release · doi:10.1016/0168-3659(88)90075-2 · Cited by 233 · see citing works
Pathogenesis and Physiopathology of Cystic Fibrosis of the Pancreas
di Sant'Agnese, P. A., & Talamo, R. C. (1967) · New England Journal of Medicine · doi:10.1056/nejm196712142772404 · Cited by 219 · see citing works
Cystic Fibrosis: CT Assessment of Lung Involvement in Children and Adults
Helbich, T. H., Heinz‐Peer, G., Eichler, I., Wunderbaldinger, P., Götz, M., Wojnarowski, C., Brasch, R. C., & Herold, C. (1999) · Radiology · doi:10.1148/radiology.213.2.r99nv04537 · Cited by 219 · see citing works
The challenges and promise of sweat sensing
Davis, N., Heikenfeld, J. C., Milla, C. E., & Javey, A. (2024) · Nature Biotechnology · doi:10.1038/s41587-023-02059-1 · Cited by 221 · see citing works
“Sweat analysis of sodium and/or chloride was performed with flame spectrometry or a polarograph 13,14 .”
InfluentialMall, M. A., Burgel, P., Castellani, C., Davies, J. C., Salathe, M. A., & Taylor‐Cousar, J. L. (2024) · Nature Reviews Disease Primers · doi:10.1038/s41572-024-00538-6 · Cited by 223 · see citing works
Maléth, J., Balázs, A., Pallagi, P., Balla, Z., Kui, B., Katona, M., Judák, L., Németh, I., Kemény, L. V., Rakonczay, Z., et al. (2014) · Gastroenterology · doi:10.1053/j.gastro.2014.11.002 · Cited by 199 · see citing works
“Immoderate alcohol consumption is one of the most common causes of AP and chronic pancreatitis (CP), and therefore the effects of ethanol and ethanol metabolites on the pancreas have been widely investigated.(4,5) However, these studies have focused mainly on pancreatic acinar and stellate cells.”
Cystic Fibrosis: Lessons from the Sweat Gland
Quinton, P. (2007) · Physiology · doi:10.1152/physiol.00041.2006 · Cited by 196 · see citing works
Akhtar, N., Singh, V., Yusuf, M., & Khan, R. A. (2020) · Biomedizinische Technik/Biomedical Engineering · doi:10.1515/bmt-2019-0019 · Cited by 197 · see citing works
“Lidocaine [132], retinoids and steroids [133], anticholinergics [134], pilocarpine [135], and ketoprofen [136] are some of the therapeutic agents which have been delivered through this approach to give enhanced and long-term dosage at increased levels of drug release.”
BackgroundDelivery of Gentamicin to the Rabbit Eye by Drug-Loaded Hydrogel Iontophoresis
Eljarrat‐Binstock, E., Raiskup, F., Stepensky, D., Domb, A. J., & Frucht‐Pery, J. (2004) · Investigative Ophthalmology & Visual Science · doi:10.1167/iovs.03-1294 · Cited by 192 · see citing works
Inflammatory Responses to Individual Microorganisms in the Lungs of Children With Cystic Fibrosis
Gangell, C. L., Gard, S., Douglas, T. A., et al. (2011) · Clinical Infectious Diseases · doi:10.1093/cid/cir399 · Cited by 187 · see citing works
“diagnosis of CF in children is made by means of a sweat test [18] following detection by newborn screening, or after presentation with clinical symptoms suggestive of CF.”
MethodCystic fibrosis in adolescents and adults.
Penketh, A., Wise, A. E., Mearns, M. B., et al. (1987) · Thorax · doi:10.1136/thx.42.7.526 · Cited by 185 · see citing works
Mutations in the Cystic Fibrosis Transmembrane Regulator Gene and In Vivo Transepithelial Potentials
Wilschanski, M. A., Dupuis, A., Ellis, L. E., et al. (2006) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.200509-1377oc · Cited by 182 · see citing works
State of Sweat: Emerging Wearable Systems for Real-Time, Noninvasive Sweat Sensing and Analytics
Ghaffari, R., Yang, D. S., Kim, J., Mansour, A., Wright, J. A., Model, J. B., Wright, D. E., Rogers, J. A., & Ray, T. R. (2021) · ACS Sensors · doi:10.1021/acssensors.1c01133 · Cited by 182 · see citing works
“Established clinically in 1959 148 , quantitative evaluation of sweat chloride in neonates remains the only widely available method for confirmatory diagnosis of cystic fibrosis.”
Hammond, K. B., Turcios, N. L., & Gibson, L. E. (1994) · The Journal of Pediatrics · doi:10.1016/s0022-3476(94)70314-0 · Cited by 178 · see citing works
Self-citationQuantitative assessment of exocrine pancreatic function in infants and children
Hadorn, B., Zoppi, G., Shmerling, D. H., et al. (1968) · The Journal of Pediatrics · doi:10.1016/s0022-3476(68)80037-x · Cited by 177 · see citing works
Variant Cystic Fibrosis Phenotypes in the Absence ofCFTRMutations
Groman, J. D., Meyer, M. E., Wilmott, R. W., et al. (2002) · New England Journal of Medicine · doi:10.1056/nejmoa011899 · Cited by 176 · see citing works
Myles, M., Neumann, D. M., & HILL, J. (2005) · Advanced Drug Delivery Reviews · doi:10.1016/j.addr.2005.08.006 · Cited by 171 · see citing works
Acquisition and eradication ofP. aeruginosain young children with cystic fibrosis
Douglas, T. A., Brennan, S. R., Gard, S., et al. (2008) · European Respiratory Journal · doi:10.1183/09031936.00043108 · Cited by 167 · see citing works
Feranchak, A. P., Sontag, M. K., Wagener, J. S., et al. (1999) · The Journal of Pediatrics · doi:10.1016/s0022-3476(99)70059-4 · Cited by 162 · see citing works
Arens, R., Gozal, D., Omlin, K. J., et al. (1994) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.150.4.7921452 · Cited by 162 · see citing works
Skin biological issues in electrically enhanced transdermal delivery
Ledger, P. W. (1992) · Advanced Drug Delivery Reviews · doi:10.1016/0169-409x(92)90027-n · Cited by 161 · see citing works
Sloan, J. B., & Soltani, K. (1986) · Journal of the American Academy of Dermatology · doi:10.1016/s0190-9622(86)70223-5 · Cited by 160 · see citing works
A 5 year clinical evaluation of a therapeutic program for patients with cystic fibrosis
Doershuk, C. F., Matthews, L. W., Tucker, A. S., et al. (1964) · The Journal of Pediatrics · doi:10.1016/s0022-3476(64)80152-9 · Cited by 159 · see citing works
Chatfield, S., Owen, G., Ryley, H. C., et al. (1991) · Archives of Disease in Childhood · doi:10.1136/adc.66.1_spec_no.29 · Cited by 158 · see citing works
Pancreatic Function in Infants Identified as Having Cystic Fibrosis in a Neonatal Screening Program
Waters, D. L., Dorney, S. F. A., Gaskin, K. J., et al. (1990) · New England Journal of Medicine · doi:10.1056/nejm199002013220505 · Cited by 158 · see citing works
Early Diagnosis of Fibrocystic Disease
YASARGIL, E. C. (1964) · The Lancet · doi:10.1016/s0140-6736(64)92990-3 · Cited by 157 · see citing works
Britigan, B. E., Hayek, M. B., Doebbeling, B. N., & Fick, R. B. (1993) · Infection and Immunity · doi:10.1128/iai.61.12.5049-5055.1993 · Cited by 156 · see citing works
“The second group (n = 11) was composed of patients with chronic inflammatory lung disease (bronchiectasis) who had been previously shown not to have cystic fibrosis by pilocarpine iontophoresis (14).”
BackgroundWearable Devices for Precision Medicine and Health State Monitoring
Jeong, I. C., Bychkov, D., & Searson, P. C. (2019) · IEEE Transactions on Biomedical Engineering · doi:10.1109/tbme.2018.2871638 · Cited by 155 · see citing works
“150 mM [196], [197], much higher than in healthy individuals (typically 10–40 mM), and hence sweat chloride testing is the most widely used assay for diagnosis of CF [196], [198].”
Cystic fibrosis: Insight into CFTR pathophysiology and pharmacotherapy
Lubamba, B., Dhooghe, B., Noël, S., & Leal, T. (2012) · Clinical Biochemistry · doi:10.1016/j.clinbiochem.2012.05.034 · Cited by 151 · see citing works
“When investigations evidenced that salty tasting skin occurs as a result of increased secretion of chloride and sodium by CF sweat glands, the use of the diagnostic pilocarpine sweat test was instigated in 1959 [6].”
Abman, S. H., OGLE, J., Harbeck, R. J., Butler–Simon, N., HAMMOND, K., & Accurso, F. J. (1991) · The Journal of Pediatrics · doi:10.1016/s0022-3476(05)80729-2 · Cited by 149 · see citing works
Casals, T., Bassas, L., Egozcue, S., et al. (2000) · Human Reproduction · doi:10.1093/humrep/15.7.1476 · Cited by 149 · see citing works
“Sweat chloride analysis was performed in 23% of CBAVD alleles (50/220) and 12% of those with 59 individuals (Gibson and Cooke, 1959).”
MethodRestoration of CFTR function in patients with cystic fibrosis carrying the F508del-CFTR mutation
Stefano, D. D., Villella, V. R., Esposito, S., Tosco, A., Sepe, A. O., Gregorio, F. D., Salvadori, L., Grassia, R., Leone, C. A., Rosa, G. D., et al. (2014) · Autophagy · doi:10.4161/15548627.2014.973737 · Cited by 149 · see citing works
“Spirometry was performed in all CF patients according to American Thoracic Society guidelines.67 Sweat chloride values were obtained by quantitative pilocarpine iontophoresis according to the standardized protocol of Gibson and Cooke.68 Five adult non-CF healthy volunteers underwent nasal brushing at each time at whic…”
MethodMicropuncture studies of the sweat formation in cystic fibrosis patients
Schulz, I. (1969) · Journal of Clinical Investigation · doi:10.1172/jci106113 · Cited by 147 · see citing works
Raiszadeh, M. M., Ross, M. M., Russo, P. S., Schaepper, M. A., Zhou, W., Deng, J., Ng, D., Dickson, A., Dickson, C., Strom, M., et al. (2012) · Journal of Proteome Research · doi:10.1021/pr2007957 · Cited by 142 · see citing works
Sokol, R. J., Reardon, M. C., Accurso, F. J., et al. (1989) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/50.5.1064 · Cited by 143 · see citing works
da Silva, R. R., Raymundo‐Pereira, P. A., de Campos, A. M., Wilson, D., Otoni, C. G., Barud, H. D. S., Costa, C. A. R., Domeneguetti, R. R., Balogh, D. T., Ribeiro, S. J. L., et al. (2020) · Talanta · doi:10.1016/j.talanta.2020.121153 · Cited by 139 · see citing works
Iontophoresis: Applications in Transdermal Medication Delivery
Costello, C. T., & Jeske, A. H. (1995) · Physical Therapy · doi:10.1093/ptj/75.6.554 · Cited by 140 · see citing works
Augarten, A., Yahav, Y., Szeinberg, A., Noiman, S., Gazit, E., Kerem, B.-S., Rivlin, Y., Tal, A., Blau, H., Bentur, L., et al. (1993) · The Lancet · doi:10.1016/0140-6736(93)91885-p · Cited by 138 · see citing works
Wearable electrochemical alcohol biosensors
Campbell, A. S., Kim, J., & Wang, J. (2018) · Current Opinion in Electrochemistry · doi:10.1016/j.coelec.2018.05.014 · Cited by 140 · see citing works
Oberwaldner, B., Evans, J. C., & Zach, M. S. (1986) · Pediatric Pulmonology · doi:10.1002/ppul.1950020608 · Cited by 139 · see citing works
In vivo effects of recombinant human DNase I on sputum in patients with cystic fibrosis.
Shah, P. L., Scott, S. F., Knight, R. A., et al. (1996) · Thorax · doi:10.1136/thx.51.2.119 · Cited by 139 · see citing works
Cystic ibrosis: Molecular Biology and Therapeutic Implications
Collins, F. S. (1992) · Science · doi:10.1126/science.256.5058.774 · Cited by 139 · see citing works
Advances in Sweat Wearables: Sample Extraction, Real-Time Biosensing, and Flexible Platforms
Qiao, L., Benzigar, M. R., Subramony, J. A., Lovell, N. H., & Liu, G. (2020) · ACS Applied Materials & Interfaces · doi:10.1021/acsami.0c07614 · Cited by 137 · see citing works
Soft, skin-interfaced sweat stickers for cystic fibrosis diagnosis and management
Ray, T. R., Ivanovic, M., Curtis, P. M., Franklin, D., Guventurk, K., Jeang, W. J., Chafetz, J., Gaertner, H., Young, G. B., Rebollo, S., et al. (2021) · Science Translational Medicine · doi:10.1126/scitranslmed.abd8109 · Cited by 135 · see citing works
Dickinson, K. M., & Collaco, J. M. (2021) · Pediatrics in Review · doi:10.1542/pir.2019-0212 · Cited by 146 · see citing works
Clinical Manifestations of Cystic Fibrosis Among Patients With Diagnosis in Adulthood
Gilljam, M., Ellis, L. E., Corey, M. L., Zielenski, J., Durie, P. R., & Tullis, D. E. (2004) · CHEST Journal · doi:10.1378/chest.126.4.1215 · Cited by 128 · see citing works
Hudson, V. L., Wielinski, C. L., & Regelmann, W. E. (1993) · The Journal of Pediatrics · doi:10.1016/s0022-3476(09)90007-5 · Cited by 133 · see citing works
Transdermal drug delivery by passive diffusion and iontophoresis: A review
Singh, S. K., & Singh, J. (1993) · Medicinal Research Reviews · doi:10.1002/med.2610130504 · Cited by 133 · see citing works
Hypogammaglobulinemia in Patients with Cystic Fibrosis
Matthews, W. J., Williams, M., Oliphint, B., et al. (1980) · New England Journal of Medicine · doi:10.1056/nejm198001313020501 · Cited by 130 · see citing works
Inconclusive Diagnosis of Cystic Fibrosis After Newborn Screening
Ooi, C. Y., Castellani, C., Keenan, K., Avolio, J., Volpi, S., Boland, M., Kovesi, T. A., Bjornson, C., Chilvers, M. A., Morgan, L. C., et al. (2015) · PEDIATRICS · doi:10.1542/peds.2014-2081 · Cited by 129 · see citing works
Emerging Soft Conductors for Bioelectronic Interfaces
Gao, D., Parida, K., & Lee, P. S. (2019) · Advanced Functional Materials · doi:10.1002/adfm.201907184 · Cited by 129 · see citing works
Gregg, R. G., Wilfond, B. S., Farrell, P. M., et al. (1993) · PubMed · Cited by 128 · see citing works
McIlwaine, P. M., Wong, L. T. K., Peacock, D., et al. (1997) · The Journal of Pediatrics · doi:10.1016/s0022-3476(97)70064-7 · Cited by 128 · see citing works
New clinical diagnostic procedures for cystic fibrosis in Europe
Boeck, K. D., Derichs, N., Fajac, I., de Jonge, H. R., Bronsveld, I., Sermet‐Gaudelus, I., Vermeulen, F. L., Sheppard, D. N., Cuppens, H., Hug, M., et al. (2011) · Journal of Cystic Fibrosis · doi:10.1016/s1569-1993(11)60009-x · Cited by 124 · see citing works
“Thus, the CF sweat duct is now being evaluated using assays other than the standard sweat test for measuring Cl− concentration [9].”
BackgroundMethodCFTR Protein: Not Just a Chloride Channel?
Hanssens, L. S., Duchateau, J., & Casimir, G. J. (2021) · Cells · doi:10.3390/cells10112844 · Cited by 125 · see citing works
“Based on the observation that the sweat of CF patients is salty, which was first made by Paul di Sant’Agnese in 1953 [10], Gibson and Cooke developed in 1959 [11] the standardized sweat test by pilocarpine iontophoresis, which still remains the gold standard for diagnosing CF and demonstrating the associated Cl− defec…”
BackgroundSweat Composition in Relation to Rate of Sweating in Patients with Cystic Fibrosis of the Pancreas
Emrich, H. M., Stoll, E., Friolet, B., Colombo, J. P., Richterich, R., & Rossi, E. (1968) · Pediatric Research · doi:10.1203/00006450-196811000-00004 · Cited by 122 · see citing works
Bellantone, N. H., Rim, S., Francoeur, M. L., et al. (1986) · International Journal of Pharmaceutics · doi:10.1016/0378-5173(86)90136-5 · Cited by 124 · see citing works
Human sweat metabolomics for lung cancer screening
Calderón-Santiago, M., Priego‐Capote, F., Turck, N., Robin, X., Gámez, B. J., Sanchez, J., & de Castro, M. D. L. (2015) · Analytical and Bioanalytical Chemistry · doi:10.1007/s00216-015-8700-8 · Cited by 122 · see citing works
- Authors
- Gibson, L. E., & Cooke, R. E.
- Affiliations
- Johns Hopkins University (US)
- Venue
- Pediatrics
- Publisher
- American Academy of Pediatrics (AAP)
- Published
- 1959-03-01
- Volume
- 23
- Issue
- 3
- Pages
- 545-549
- ISSN
- 0031-4005 (ISSN-L)
- 1098-4275
- OpenAlex
- W1946951765
- Cited by
- 1,434
- References
- 0
- Citations by year
- 2026: 17 · 2025: 21 · 2024: 24 · 2023: 24 · 2022: 15 · 2021: 34 · 2020: 41 · 2019: 37 · 2018: 37 · 2017: 42 · 2016: 37 · 2015: 32 · 2014: 35 · 2013: 30 · 2012: 39
- FWCI
- 27.70
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- PEDIATRICS (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Cystic Fibrosis Research Advances
- Health Sciences › Medicine › Surgery › Pancreatitis Pathology and Treatment
- Health Sciences › Medicine › Physiology › Salivary Gland Disorders and Functions
- Keywords
- cystic fibrosis, sweat test, sweat electrolytes, chloride, sodium, pilocarpine, iontophoresis
- MeSH terms
- Chlorides, Cystic Fibrosis, Electrolytes, Humans, Iontophoresis, Pilocarpine, Sodium, Sodium, Dietary, Sweat
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review