Sammanfattning
CONCLUSION : We suggest that tonsillectomy should be considered in the most persistent and troublesome cases of PFAPA. Paediatricians and otolaryngologists should collaborate on the diagnosis and treatment.
CASE PRESENTATION : The boy had a history of recurrent fever every third week from one year of age. A tonsillectomy was performed when he was 3.5 years old. The episodes of fever ceased immediately and have not reoccurred 16 months after the operation.
BACKGROUND : Controlled studies of tonsillectomy in children with periodic fever syndrome (PFAPA) have not been reported, but some retrospective studies suggest that a substantial number of fever episodes have ceased after tonsillectomy. A boy diagnosed with PFAPA is presented.