Sažetak sa skupa
PFAPA and adenotonsilectomy – our results
Iva Carević
orcid.org/0000-0003-2304-8800
; Dječja bolnica Srebrnjak, Srebrnjak 100, 10000 Zagreb, Hrvatska
Žana Dvojković
; Dječja bolnica Srebrnjak, Srebrnjak 100, 10000 Zagreb, Hrvatska
Duška Markov Glavaš
; Dječja bolnica Srebrnjak, Srebrnjak 100, 10000 Zagreb, Hrvatska
Sažetak
Objective: Periodic fever, aphthous stomatitis, pharyngitis, and the adenitis (PFAPA) syndrome is the most
common periodic fever condition in children. There is a diverse group of specialists included in diagnosing
and treatment of PFAPA: pediatric rheumatologists, infectious disease specialists, allergists/immunologists
and otolaryngologists. After diagnosing, our team of specialists recommended adenotonsillectomy which most
of the parents or guardians accepted. Methods: In the period from 2019 to 2022 we had 47 children in our
hospital with the diagnosis of PFAPA who had adenotonsillectomy. Those were retrospectively analyzed to
check if the episodes were stopped. Among 47 children we had 15 females (31.9%) and 32 males (68.01%),
the youngest was one year and nine months old, and the oldest was 13. Results: Most of our patients did not
have any episode of PFAPA any more, some had one more episode one to two weeks after surgery. One had
persistent episodes but those episodes were less frequent, with shorter duration. Conclusion: We continue to
operate children with PFAPA. Our experience indicates that parents or guardians are more pleased with the
option of surgery that could be a permanent solution than to the option of waiting for the child to grow out of
this problem or to have corticosteroid therapy every time an episode began.
Ključne riječi
Periodic fever; adenotonsillectomy; corticosteroid therapy
Hrčak ID:
336285
URI
Datum izdavanja:
10.11.2025.
Posjeta: 127 *