PFAPA — RACP Paediatrics MCQ

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A 3-year-old has recurrent fever (40°C) for 3-5 days every 4-6 weeks with aphthous stomatitis, pharyngitis, and cervical adenitis. Well between episodes. What is the diagnosis?

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Correct answer: D — PFAPA syndrome

PFAPA: most common periodic fever syndrome. Remarkably predictable timing. Single dose prednisolone aborts episodes. Tonsillectomy may cure.

Reference: RCH Melbourne – 2023 – Periodic Fever CPG