In Reply: I appreciate the comments by Dr Kaushik and colleagues as musculoskeletal concerns are not infrequently expressed by adults with cystic fibrosis. The described episodic arthralgia and cutaneous nodules have been particularly problematic in 3 of our approximately 200 adult patients and would be worthy of systematic study given the limited literature in this area.1
Boyle MP. Joint Problems and Cystic Fibrosis—Reply. JAMA. 2008;299(4):408. doi:10.1001/jama.299.4.408-c
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