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Recurrent fever and rash
Katherine Cashen1, Deepak Kamat
1Carman and Adams Department of Pediatrics, Children's Hospital of Michigan, Detroit, Michigan, USA.
Insights
Periodic fever syndromes are rare in children. This case highlights the importance of considering tumor necrosis factor receptor-1 alpha periodic syndrome in children with recurrent fevers and associated symptoms.
Area of Science:
- Pediatric Rheumatology
- Immunology
Background:
- Periodic fever syndromes (PFS) are uncommon in children.
- A broad differential diagnosis exists for recurrent fevers in pediatric patients.
- Associated symptoms like rash can aid in differential diagnosis.
Observation:
- A 4-year-old boy presented with recurrent fever, vomiting, abdominal pain, myalgias, and rash.
- The patient required emergency department evaluation for these symptoms.
- Atypical presentations necessitate thorough diagnostic evaluation.
Findings:
- The case details the hospital course of a child with recurrent fever.
- The article reviews tumor necrosis factor receptor-1 alpha periodic syndrome.
- This syndrome is a rare cause of periodic fever in children.
Implications:
- Early recognition and diagnosis of periodic fever syndromes are crucial.
- Understanding atypical presentations improves diagnostic accuracy.
- Proper management of tumor necrosis factor receptor-1 alpha periodic syndrome can prevent complications.
Abstract:
Periodic fever is uncommon in children. The differential diagnosis is large, even though associated symptoms such as rash may help narrow the differential diagnosis. Atypical presentations require thoughtful evaluation. This article describes a case of a 4-year-old boy who presented to the emergency department with recurrent fever, vomiting, abdominal pain, myalgias, and rash. His hospital course is described along with a review on the background, evaluation, management, and complications of tumor necrosis receptor-1 alpha periodic syndrome.
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