Assessment of recurrent fever among children undergoing tonsillectomy
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Le résumé fourni par la source
BACKGROUND: Recurrent tonsillitis is a common indication for tonsillectomy in children and has phenotypic overlap with periodic fever, aphthous stomatitis, pharyngitis, and cervical adenitis (PFAPA) syndrome. We sought to characterize symptoms associated with PFAPA among children undergoing tonsillectomy. METHODS: Parents/guardians of children undergoing tonsillectomy at Vanderbilt Children's Hospital over a six-week period were queried regarding symptoms of recurrent fever. Follow-up questionnaires were administered 3 and 12 months after tonsillectomy. RESULTS: 82% (120/147) of patients who underwent tonsillectomy during the study period participated. Provider-documented indications for tonsillectomy were obstructive sleep apnea in 88% and recurrent tonsillitis in 33%. 11% (13/120) reported[Formula: see text]6 episodes of stereotypical fever in a one-year period. During febrile episodes among these 13 subjects, 11 had tonsillitis, 5 had cervical adenitis, 3 had aphthous stomatitis, and three reported regular and predictable episode timing. In addition, participants with ≥3 episodes/year of recurrent febrile tonsillitis (N = 33) had a significantly higher prevalence of recurrent aphthous ulcers than those without recurrent tonsillitis (24% vs. 9%, p = 0.04). All participants, including those with recurrent fever, reported fewer febrile tonsillitis episodes one year after tonsillectomy. CONCLUSIONS: In our survey of children undergoing tonsillectomy, a subpopulation had frequent, stereotypical fever episodes with recurrent tonsillitis, aphthous stomatitis, or regular timing like patients with PFAPA. Although we cannot diagnose such patients with PFAPA in this limited retrospective study, pediatricians and otolaryngologists evaluating patients for tonsillectomy should be aware of the clinical signs of PFAPA that may warrant additional evaluation and therapeutic approaches.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Assessment of recurrent fever among children undergoing tonsillectomy
- Date Crossref
- 27/12/2024
- Éditeur
- Springer Science and Business Media LLC
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Vanderbilt University Department of Pediatrics pays non établi dans la noticeUniversité ou école supérieure
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University of Utah Department of Otolaryngology-Head and Neck Surgery pays non établi dans la noticeUniversité ou école supérieure
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Emory University Department of Otolaryngology-Head and Neck Surgery pays non établi dans la noticeUniversité ou école supérieure
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Prisma Health pays non établi dans la noticeÉtablissement de santé
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Greenville Children's Hospital pays non établi dans la noticeÉtablissement de santé
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National Institute of Allergy and Infectious Diseases pays non établi dans la noticeStructure de recherche
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Greenville Health System Children's Hospital pays non établi dans la noticeÉtablissement de santé
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Laboratory of Immune System Biology pays non établi dans la noticeStructure de recherche
Department of Pediatrics — Vanderbilt University, Department of Otolaryngology-Head and Neck Surgery — University of Utah et Department of Otolaryngology-Head and Neck Surgery — Emory University, avec 5 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.