Autoinflammatory & rare systemic diseases

Symptom course of PFAPA syndrome

Pediatr Rheumatol Online JPublished Retrospective cohort study

Authors' conclusion

In patients whose fever resolved, most experienced their last febrile episode before adolescence.

Study context

Population
Patients diagnosed with PFAPA syndrome at Versailles Hospital (Paris, France), included in the Juvenile Inflammatory Rheumatism (JIR) cohort, 2016 to February 202334 lost to follow-up
Participants
209 patients
Outcome
Age at and delay to recovery (recovery = absence of any febrile PFAPA episode in the past year)
Methodological detailssingle-centre, medical record review, telephone follow-up
  • Single-centre
  • Medical record review
  • Telephone follow-up

Main finding

As reported in the abstract

Recovery and symptom course
Resolution of periodic fever
56 (27%)
Still active
119 (57%)
Lost to follow-up
34 (16%)
Median duration of symptoms among recovered (Q1-Q3: 2.97-8.65)
5.43 years
Median age at last febrile episode among recovered (Q1-Q3: 5.44-10.24)
8.34 years

Observational data: associations, not effects.

Further findings

Relapse after initial declaration of cure, among 119 with persistent fever

Initially declared cured but relapsed
10

Original publication

Symptom course of PFAPA syndrome. Pediatr Rheumatol Online J. Published 29 December 2025. doi:10.1186/s12969-025-01157-5

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