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Table 2 Pharmacological treatment for PFAPA syndrome

From: PFAPA syndrome: a review on treatment and outcome

Treatment of the episodes

 

Dose

Remarks

 Prednisone

0.5–2 mg/Kg, orally the first day of fever

Possible to repeat on day 2 if fever persists

 Betametasone

0.2 mg/Kg, orally the first day of fever

Possible to repeat on day 2 if fever persists

Prophylactic Treatment

 

Dose

Remarks

 Colchicine

0.5–1 mg/daily, orally

Gastro-intestinal side effects

 Cimetidine

20–40/mg/Kg/daily, orally

Poor efficacy

 Anakinra

1 mg/Kg, sc the first and second day of fever

Cost-effectiveness