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- Sanjay R Parikh, Evan R Reiter, Margaret A Kenna, and David Roberson.
- Department of Otolaryngology, Children's Hospital at Montefiore, Albert Einstein College of Medicine, Bronx, NY, USA.
- Arch Otolaryngol. 2003 Jun 1; 129 (6): 670-3.
ObjectivesTo review the various causes of period fever in childhood, including the syndrome of periodic fever, aphthous stomatitis, pharyngitis, and cervical adenitis (PFAPA), and to examine the value of tonsillectomy in the treatment of PFAPA syndrome.DesignRetrospective case series.SettingUrban and tertiary care referral children's hospital.PatientsTwo patients who underwent tonsillectomy for presumed recurrent adenotonsillitis were later diagnosed as having PFAPA syndrome. Intervention Tonsillectomy.Main Outcome MeasureFrequency of PFAPA symptoms before and after tonsillectomy.ResultsNo difference was found in the frequency of PFAPA symptoms after tonsillectomy.ConclusionAlthough a larger series of patients is required, our initial experience suggests that tonsillectomy is not always beneficial for patients with PFAPA syndrome.
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