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PFAPA syndrome in children evaluated for tonsillectomy

¹ Department of Paediatrics, University Hospital of Heraklion, Crete, Greece
² Department of Otorhinolaryngology, University Hospital of Heraklion

Correspondence to:
Correspondence to:
Dr E Galanakis, Department of Paediatrics, University of Crete, PO Box 1393, 715 00 Heraklion, Greece;
egalanak{at}med.uoc.gr

ABSTRACT
Among 40 children undergoing tonsillectomy for recurrent pharyngitis, 15 (37.5%) had presented preoperatively with complaints compatible with PFAPA syndrome. All 15 had had periodic fever every three to four weeks and pharyngitis; 12 (80%) had cervical adenitis and five (33%) aphthous stomatitis. All children had been well between episodes and showed a dramatic postoperative improvement. PFAPA syndrome is not uncommon among children having tonsillectomy. Tonsillectomy is curative in most of these patients.

Keywords: aphthous stomatitis; periodic fever; PFAPA syndrome; pharyngitis; tonsillectomy

This article has been cited by other articles:

				G. Licameli, J. Jeffrey, J. Luz, D. Jones, and M. Kenna Effect of Adenotonsillectomy in PFAPA Syndrome Arch Otolaryngol Head Neck Surg, February 1, 2008; 134(2): 136 - 140. [Abstract] [Full Text] [PDF]

				K. K. Wong, J. C. Finlay, and J. P. Moxham Role of Tonsillectomy in PFAPA Syndrome Arch Otolaryngol Head Neck Surg, January 1, 2008; 134(1): 16 - 19. [Abstract] [Full Text] [PDF]

				D. Schiff and L. L. Barton Tonsillectomy as a Therapeutic Option for PFAPA AAP Grand Rounds, December 1, 2007; 18(6): 66 - 67. [Full Text] [PDF]

				D Tasher, E Somekh, and I Dalal PFAPA syndrome: new clinical aspects disclosed Arch. Dis. Child., December 1, 2006; 91(12): 981 - 984. [Abstract] [Full Text] [PDF]

				M La Regina, G Nucera, M Diaco, R Manna, and G Gasbarrini Differential diagnosis of periodic fevers Arch. Dis. Child., January 1, 2003; 88(1): 92 - 92. [Full Text] [PDF]

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