Evidence map›Paper›PMID 32239314›Full record

ArticleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2020

Long-term management of patients with PFAPA syndrome.

Erkan Yıldız, Selçuk Kuzu, Orhan Kemal Kahveci, Şahin Ulu, Abdulkadir Bucak

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Article in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 47% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 4 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Erkan YıldızDepartment of Otorhinolaringology, Afyonkarahisar Şuhut State Hospital, Şuhut, 03800, Afyonkarahisar, Turkey. dr.erkanyildiz@hotmail.com.ORCID http://orcid.org/0000-0002-0265-7327
Selçuk KuzuDepartment of Otorhinolaringology, Healty Science University Hospital, Afyonkarahisar, Turkey.ORCID http://orcid.org/0000-0002-0511-9874
Orhan Kemal KahveciDepartment of Otorhinolaringology, Healty Science University Hospital, Afyonkarahisar, Turkey.ORCID http://orcid.org/0000-0002-6159-133X
Şahin UluDepartment of Otorhinolaringology, Healty Science University Hospital, Afyonkarahisar, Turkey.ORCID http://orcid.org/0000-0003-0193-1942
Abdulkadir BucakDepartment of Otorhinolaringology, Healty Science University Hospital, Afyonkarahisar, Turkey.ORCID http://orcid.org/0000-0003-3031-3465
Afyon Kocatepe University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the long-term treatment results of patients with PFAPA syndrome and to determine their need for tonsillectomy. MATERIALS AND

methodsThe clinical characteristics, treatments and long-term results of 16 patients admitted to the Pediatric and Otorhinolaryngology Clinic between 2015 and 2019 were retrospectively analyzed.

resultsTwelve male and four female patients were examined between 1.5 and 8 years (mean age 4.8 ± 1.1) (75% male, 25% female). The mean duration of attacks was 4.4 ± 1.4 weeks. Twelve patients recovered completely with single-dose steroid therapy. In the 4-year follow-up of 12 patients who were given a single dose of steroid therapy, there were no relapses. Surgical decisions were made for four patients whose attacks did not pass with steroid treatment. Two patients (75%) underwent adenotonsillectomy, and one patient underwent tonsillectomy While three of these patients did not have an attack again, one patient continued to have an attack every 8 weeks. At the age of 9, his attacks were completely resolved spontaneously. All patients had fever. The most common concomitant symptoms were pharyngitis (94%), cervical adenitis (82%) and aphthous stomatitis (77%). Exudative tonsillitis was present in 25% of the patients.

conclusionMedical treatment should be the first treatment option in patients with PFAPA syndrome. Although single-dose steroid treatment is effective in these patients, tonsillectomy is an important treatment option in refractory cases.

Indexed as

LymphadenitisPharyngitisStomatitis, AphthousTonsillectomyAdenoidectomyChildChild, PreschoolFemaleHumansMaleRetrospective StudiesPeriodic feverPFAPA syndromeSteroidTonsillectomy

Identifiers

PMID32239314
OpenAlexW3014453395

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.