Infectious Disease Book


PFAPA Syndrome

Aka: PFAPA Syndrome, Marshall's Syndrome, PFAPA
  1. See Also
    1. Recurrent Fever
    2. Aphthous Ulcer
    3. Pharyngitis
    4. Pharyngitis Causes
    5. Dysphagia
    6. Tonsillectomy Indications
  2. Epidemiology
    1. Most common in age under 5 years
    2. Most common cause of Recurrent Fever in children
  3. Signs: (PFAPA acronym)
    1. Periodic Fever (PF)
      1. High fever lasting 3-6 days
      2. Recurs every 3-4 weeks
    2. Aphthous Ulcer (A)
      1. Small lesions which are often asymptomatic
    3. Pharyngitis (P)
    4. Cervical Lymphadenopathy (A)
    5. Child is well between monthly exacerbations
  4. Differential diagnosis
    1. See Recurrent Fever
    2. See Aphthous Ulcer
    3. See Pharyngitis
    4. Cyclic Neutropenia
    5. Behcet's Disease
  5. Management
    1. Prednisone 2 mg/kg may be considered at start of symptoms
    2. Agents that have been tried for prophylaxis
      1. Colchicine
      2. Cimetidine
    3. Tonsillectomy effective in small studies
      1. No recurrence after 10 months
      2. Berlucchi (2003) Ann Otol Rhinol Laryngol 112:365-9 [PubMed]
      3. Galanakis (2002) Arch Dis Child 86(6):434-5 [PubMed]
  6. References
    1. John (2002) Pediatr Infect Dis J 21:1071-80 [PubMed]
    2. Vanoni (2016) Pediatr Rheumatol Online J 14(1):38 +PMID:27349388 [PubMed]

PFAPA syndrome (C2938935)

Concepts Disease or Syndrome (T047)
English Syndrome of periodic fever, aphthous stomatitis, pharyngitis, cervical adenitis, PFAPA syndrome, pfapa syndrome, pfapa syndrome (diagnosis)
Dutch PFAPA-syndroom, syndroom van periodieke koorts, afteuze stomatitis, faryngitis, cervicale adenitis
Spanish Síndrome PFAPA, Síndrome de fiebre periódica, estomatitis aftosa, faringitis, adenitis cervical
Portuguese Síndrome de PFAPA, Síndrome de febre periódica, estomatite aftosa, faringite, adenite cervical
Italian Sindrome PFAPA, Sindrome della febbre periodica, stomatite aftosa, faringite, adenite cervicale
German Syndrom periodischen Fiebers, apthoeser Stomatitis, Pharyngitis, Zervikaladenitis, PFAPA-Syndrom
French Syndrome de PFAPA, Syndrome de fièvre périodique, stomatite aphteuse, pharyngite, adénopathie cervicale
Japanese PFAPA症候群, 周期熱・アフタ性口内炎・咽頭炎・頚部リンパ節炎症候群, PFAPAショウコウグン, シュウキネツアフタセイコウナイエンイントウエンケイブリンパセツエンショウコウグン
Czech PFAPA syndrom, Syndrom periodické horečky, aftózní stomatitidy, faryngitidy a krční adenitidy
Hungarian Periódikus láz, aphthás stomatitis, pharyngitis, cervicalis adenitis tünetegyüttes, PFAPA syndroma
Derived from the NIH UMLS (Unified Medical Language System)

You are currently viewing the original '\legacy' version of this website. Internet Explorer 8.0 and older will automatically be redirected to this legacy version.

If you are using a modern web browser, you may instead navigate to the newer desktop version of fpnotebook. Another, mobile version is also available which should function on both newer and older web browsers.

Please Contact Me as you run across problems with any of these versions on the website.

Navigation Tree