Periodic fever, aphthous stomatitis, pharyngitis, and adenitis (PFAPA) syndrome: A review
- PMID: 34430824
- PMCID: PMC8356195
- DOI: 10.1016/j.wjorl.2021.05.004
Periodic fever, aphthous stomatitis, pharyngitis, and adenitis (PFAPA) syndrome: A review
Abstract
Periodic fever, aphthous stomatitis, pharyngitis, and adenitis (PFAPA) syndrome is the most common periodic fever condition in children, with most cases appearing by the age of 5. Although PFAPA is generally a self-limited condition, it can have a major impact on a child's quality of life, as well as that of their family. Recent research has continued to shed light on the genetic and immunologic factors that play a role in the pathogenesis of PFAPA. There also exists significant heterogeneity in treatment strategies, and progress has been made to develop evidence-based management strategies and establish a standard of care. This review will outline current knowledge regarding the pathogenesis of PFAPA, as well as treatment strategies and our clinical experience.
Keywords: PFAPA; Periodic fever; Recurrent fever.
© 2021 Chinese Medical Association. Publishing services by Elsevier B.V. on behalf of KeAi Communications Co. Ltd.
Conflict of interest statement
None.
References
-
- Marshall G.S., Edwards K.M., Butler J., Lawton A.R. Syndrome of periodic fever, pharyngitis, and aphthous stomatitis. J Pediatr. 1987;110:43–46. - PubMed
-
- Hofer M., Pillet P., Cochard M.M. International periodic fever, aphthous stomatitis, pharyngitis, cervical adenitis syndrome cohort: description of distinct phenotypes in 301 patients. Rheumatology (Oxford) 2014;53:1125–1129. - PubMed
-
- Gattorno M., Hofer M., Federici S. Classification criteria for autoinflammatory recurrent fevers. Ann Rheum Dis. 2019;78:1025–1032. - PubMed
-
- Król P., Böhm M., Sula V. PFAPA syndrome: clinical characteristics and treatment outcomes in a large single-centre cohort. Clin Exp Rheumatol. 2013;31:980–987. - PubMed
-
- Padeh S., Brezniak N., Zemer D. Periodic fever, aphthous stomatitis, pharyngitis, and adenopathy syndrome: clinical characteristics and outcome. J Pediatr. 1999;135:98–101. - PubMed
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