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2 results

  • Periodic fever syndromes: a patient diagnosed with recurrent Kawasaki disease

  • Sena Turk, Derya Aydin, Eser Dogan, Erturk Levent, Necil Kutukculer
  • Journal:
    Cardiology in the Young / Volume 30 / Issue 7 / July 2020
    Published online by Cambridge University Press:
    11 June 2020, pp. 1009-1011

  • Kawasaki disease, known as mucocutaneous lymph node syndrome, is a multi-system disease of unknown aetiology that occurs in young children under 5 years of age. The recurrence rate of Kawasaki disease is as rare as 1–3%. Especially in cases with coronary artery involvement, recurrent Kawasaki disease should be investigated in terms of underlying rheumatologic diseases such as periodic fever syndromes, microscopic polyangiitis, polyarteritis nodosa, and systemic-onset juvenile arthritis. In this study, we report homozygote mutations in mevalonate kinase and familial Mediterranean fever genes in a recurrent Kawasaki disease with coronary dilatation.

  • Parapharyngeal abscess in a previously tonsillectomised child with periodic fever, aphthous stomatitis, pharyngitis and adenitis syndrome: first reported case

  • M Rollin, A Majithia, M Stearns
  • Journal:
    The Journal of Laryngology & Otology / Volume 122 / Issue 12 / December 2008
    Published online by Cambridge University Press:
    26 November 2007, pp. 1381-1383
    Print publication:
    December 2008
  • Objective:

    we present the first reported case of parapharyngeal abscess in a child with periodic fever, aphthous stomatitis, pharyngitis and adenitis syndrome, an uncommon syndrome of recurrent, self-limiting fever in children.

    Method:

    Case report and review of the literature to date concerning periodic fever, aphthous stomatitis, pharyngitis and adenitis syndrome.

    Results:

    Periodic fever, aphthous stomatitis, pharyngitis and adenitis syndrome is an incompletely understood syndrome which requires careful and thorough investigation in order to distinguish it from other causes of recurrent fever. There has been much recent debate in the literature over the merits of various treatment strategies, including tonsillectomy.

    Conclusion:

    To the authors' knowledge, this is the first reported case of a parapharyngeal abscess in a child with periodic fever, aphthous stomatitis, pharyngitis and adenitis syndrome, made more significant by the fact that the child had undergone tonsillectomy one year prior. This case provides evidence that tonsillectomy does not protect against one of the more serious complications of oropharyngeal infection in children with this syndrome.