| Summary points: | A 14-year-old presents with tiredness and difficulty seeing at night that developed over the previous 6 months as well as intermittent abdominal discomfort. This case report describes the clinical presentation, findings from laboratory tests, radiographs, ultrasounds, and genetic analysis, the diagnosis, and outcome. The authors discuss the clinical features of cystic fibrosis, and the mechanism of vitamin A deficiency in cystic fibrosis. |