Peter Ďurdík
Primary ciliary dyskinesia is a genetically heterogeneous disorder which belongs to a wide group of ciliopathies. Abnormalities
of ciliary kinematics are determined by functional and ultrastructural changes. Clinical symptoms manifest
already in early childhood; the most common are chronic rhinosinusitis, otitis, and productive cough. Situs inversus
viscerum or heterotaxy present makes it easy to diagnose. The basic diagnostic algorithm of primary ciliary dyskinesia
consists of comprehensive medical history, a physical examination and imaging examination to reveal particular
bronchiectasis. More exact methods are nasal nitric oxide measurement and light or electron microscopy of respiratory
epithelium realized by brushing method or biopsy. Light microscopy in conjunction with a high-speed camera is able
to capture the video of cilia and to analyze the parameters of ciliary kinematics. The latest method is the possibility
to establish a specific gene mutation responsible for the primary ciliary dyskinesia. Early diagnosis of disease is important
for early adequate management and finally for the reduction of development of secondary complications of primary
ciliary dyskinesia.