“…(33,34) So far, the literature is inconclusive about the impact of CFLD on CF evolution. While some studies have shown that patients with CFLD were likely to have a more severe CF phenotype with altered nutrition and lung function statuses, (5,(35)(36)(37)(38) others did not observe any association. (19,20,34,39,40) We were able to confirm in this large cohort that patients with CFLD had more severe lung disease, with the worst sufferers being patients with severe CFLD complications.…”