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Hi

My name is and my son Dominick (17 months) is in the preliminary stages of

diagnosis for Pfapa. Unlike some of the other’s experiences, this route has been

rather smooth. Dominick began experiencing fevers earlier this year, and in

September, when I took him to the pediatrician, I mentioned that he gets these

fevers nearly every month. The pediatrician had some concern of cyclical

neutropenia, and had a blood test with a sed rate done. Neutrophils were fine

(and had been on other blood tests which coincided with fevers), but the sed

rate was slightly elevated. Based on that, she referred us to a pediatric

rheumatologist, and my son cooperated quite well, coming down with his fever the

day before our appointment with the specialist. This physician ruled out

malignancy, cyclical neutropenia, chronic infection, and JRA. We are currently

looking into the Periodic Fever Syndrome. Dominick is being tested for Chronic

Igb, and there is some chance that it may be Famial Mediterranean

fever (I’m Italian), but he doesn’t get diarrhea or rashes. The rheumatologist

prescribed prednisone and he immediately responded to this, so we are leaning

toward Pfapa. So far we are pleased with our care received, although I don’t

want my son to have fevers monthly.

I, too, wonder about source. No one in our family is in the military, although

we frequently travel to Europe (Germany mostly, Austria, Italy, Spain and France

on occasion). No malaria shots or other special vaccinations.

I appreciate the work done to coordinate this group and the info on Pfapa.

Regards-

Mother to Dominick (17 mos)

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