주기성 구토증으로 추적 관찰 중 진단된 PFAPA 증후군 1예
A Case of PFAPA Syndrome Mimicking Cyclie Vomiting Syndrome
홍석표, 최병규, 김여향, 최원정, 김애석, 황진복, 신현정,
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홍석표 ( Hong Seok-Pyo )
계명대학교 의과대학 소아과학교실
최병규 ( Choi Byung-Kyu )
계명대학교 의과대학 소아과학교실
김여향 ( Kim Yeo-Hyang )
계명대학교 의과대학 소아과학교실
최원정 ( Choi Won-Joung )
계명대학교 의과대학 효성아동병원
김애석 ( Kim Ae-Suk )
동국대학교 의과대학 소아과학교실
황진복 ( Hwang Jin-Bok )
계명대학교 의과대학 소아과학교실
신현정 ( Shin Hyun-Jung )
계명대학교 의과대학 소아과학교실
KMID : 0816120060090010085
Abstract
PFAPA syndrome is characterized by periodic fevers associated with aphthous stomatitis, pharyngitis, and cervical adenitis and is unusual in infants and children. We report on a case of PFAPA syndrome mimicking cyclic vomiting syndrome in a 42-month-old girl. She had experienced multiple episodes of cyclic vomiting with abdominal pain from age 20 to 30 months. When she was 30 months old, periodic fever with pharyngitis was combined with cyclic vomiting, and when 40 months old, aphthous stomatitis and cervical adenitis were added. These periodic symptoms and signs were not treated with prokinetics or antibiotics. Symptom duration of an episode was 3 days. After cimetidine therapy (150 mg three times daily for 6 months), her febrile and cyclic vomiting episodes ceased. At the time of writing she had not received therapy for 10 months and has remained well without periodic attack.
키워드
PFAPA syndroe;Cyclic vomiting sydrome;periodic fever;Climetidine
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