We studied vitamin A and E concentrations in 68 patients with cystic f
ibrosis. 31 patients (46%) had normal vitamin A and E levels, 18 (26%)
had a low level of either vitamin A or vitamin E and 19 (28%) patient
s had low levels of both. Patients with low levels of vitamin A and E
had poorer lung function and required more intravenous antibiotic ther
apy and time in hospital as compared to those with normal vitamin leve
ls. Although these findings do not show a causal relationship between
low levels of these vitamins and increased pulmonary morbidity, they i
ndicate the need for regular monitoring of serum levels of fat soluble
vitamins and adjustment of supplement dosage to maintain levels withi
n the normal range. (C) 1998 Chapman & Hall Ltd.