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[Periodic fever]
I Mongil Ruiz1, V Canduela Martínez
1Hospital de Laredo. Cantabria. España. imongil@hlrd.insalud.es
Anales Espanoles De Pediatria
|October 24, 2002
Summary
Periodic fever syndromes involve recurrent fevers, challenging diagnosis against infections. This review classifies hereditary and non-hereditary types, aiding understanding and treatment.
Area of Science:
- Medicine
- Genetics
- Immunology
Background:
- Periodic fever involves recurrent episodes of fever, often difficult to differentiate from infections, malignancies, or connective tissue diseases.
- These conditions are uncommon but present diagnostic challenges in clinical practice.
- A comprehensive understanding requires consolidating dispersed literature on these varied presentations.
Purpose of the Study:
- To systematically review and categorize diverse periodic fever syndromes.
- To provide a consolidated perspective on both hereditary and non-hereditary forms.
- To highlight diagnostic challenges and recent advancements in understanding genetic bases.
Main Methods:
- Literature review and classification of periodic fever syndromes.
- Categorization into hereditary and non-hereditary groups based on existing studies.
- Synthesis of clinical and genetic information from dispersed literature.
Main Results:
- Periodic fever syndromes were classified into two main categories: hereditary and non-hereditary.
- Hereditary examples include familial Mediterranean fever, hyper-IgD syndrome, and others.
- Non-hereditary examples include PFAPA syndrome, cyclic neutropenia, and others.
Conclusions:
- Accurate diagnosis of periodic fever syndromes is crucial and can be challenging.
- Advances in molecular and genetic knowledge of hereditary forms aid diagnosis and treatment.
- This review consolidates information to offer a detailed perspective on these conditions.
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Increased Body Temperature
A body temperature above 38°C (100.4 °F) is known as fever or pyrexia, and a person with fever is termed 'febrile.' Typically, the hypothalamus, a part of the brain that acts as the body's thermostat, regulates body temperature through a thermoregulatory setpoint. It receives signals from cold and warm thermal receptors throughout the body and adjusts the body's temperature accordingly. Fever occurs when this hypothalamic setpoint is altered, usually in response to an infection or illness.
Methods of reducing fever
The signs and symptoms of fever include hot and dry skin, flushed face, thirst, muscle aches, anorexia, headache, tachycardia, tachypnea, and fatigue. Elevated body temperature is reduced using two methods: pharmacological and nonpharmacological. Proper identification and treatment of the root cause of a fever is of utmost importance.
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Fever can be triggered by several factors, including infections, nervous system disorders, certain cancers, blood diseases like leukemia, embolism, thrombosis, heatstroke, dehydration, surgical trauma, crushing injuries, and allergic reactions.
Here are the different types of fever:
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