• Internal medicine · Dec 2023

    Case Reports

    A Case of Adult-onset Periodic Fever, Aphthous Stomatitis, Pharyngitis and Cervical Adenitis Syndrome Responsive to Colchicine.

    • Tsukasa Nozu, Masumi Ohhira, Masatomo Ishioh, and Toshikatsu Okumura.
    • Department of Regional Medicine and Education, Asahikawa Medical University, Japan.
    • Intern. Med. 2023 Dec 1; 62 (23): 355535583555-3558.

    AbstractWe herein report a rare case of periodic fever, aphthous stomatitis, pharyngitis and cervical adenitis (PFAPA) syndrome that occurred in an 18-year-old man. He visited our hospital with recurrent episodes of a fever, pharyngitis and adenitis without suggestive findings of infection. These episodes resolved within 5 days and recurred quite regularly, with an interval of about 30 days. As the febrile episodes significantly impaired his quality of life, he was treated with colchicine (0.5 mg) as prophylaxis. This completely prevented the episodes during six months of follow-up. Colchicine may therefore be effective in cases of adult-onset PFAPA syndrome.

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