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Acute paediatrics
PFAPA syndrome in children evaluated for tonsillectomy
  1. E Galanakis1,
  2. C E Papadakis2,
  3. E Giannoussi1,
  4. A D Karatzanis2,
  5. M Bitsori1,
  6. E S Helidonis2
  1. 1Department of Paediatrics, University Hospital of Heraklion, Crete, Greece
  2. 2Department of Otorhinolaryngology, University Hospital of Heraklion
  1. 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.

  • aphthous stomatitis
  • periodic fever
  • PFAPA syndrome
  • pharyngitis
  • tonsillectomy

https://doi.org/10.1136/adc.86.6.434

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