Recurrent fever in pediatrics

Описание: Sesión de Pediatría. Hospital General Universitario Dr. Balmis, Alicante (Dr. Ángel Buitrago, R4; Dra. Pilar Bernabéu). Jefe de Servicio (y creador de contenidos): Dr. Javier González de Dios.

This video examines the clinical approach to recurrent fever, defined as multiple febrile episodes occurring over at least six months with asymptomatic intervals. The author emphasizes distinguishing common viral infections from immune regulation disorders, specifically focusing on the differences between autoinflammatory and autoimmune diseases. Key conditions discussed include cyclical neutropenia, which requires careful screening for low white blood cell counts, and familial Mediterranean fever, the most frequent genetic autoinflammatory disorder. Special attention is given to PFAPA syndrome, a condition characterized by highly predictable fever cycles that often responds well to corticosteroids. Diagnosing these complex pathologies involves utilizing fever diaries, physical examinations, and genetic testing to rule out malignancies or primary immunodeficiencies. Ultimately, the source provides a diagnostic algorithm to help clinicians identify rare systemic inflammatory triggers in children.