Pfapa treatment steroids

Antibiotic failure in the treatment of streptococcal tonsillopharyngitis
Group A streptococcal tonsillopharyngitis in children and adolescents: Clinical features and diagnosis
Complications of streptococcal tonsillopharyngitis
Evaluation of acute pharyngitis in adults
Evaluation of sore throat in children
Periodic fever with aphthous stomatitis, pharyngitis, and adenitis (PFAPA syndrome)
Peritonsillar cellulitis and abscess
Sore throat in children and adolescents: Symptomatic treatment
Tonsillectomy and/or adenoidectomy in children: Indications and contraindications
Treatment and prevention of streptococcal tonsillopharyngitis

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This post as well as all the comments have been SO helpful!! We have been seeking out the answers to my 4 yr old daughters mystery illness. After many pediatric visits as well as specialist visits we are now moving forward with genetic testing to rule out and diagnose what particular pfs she has. I am curious as to what specialist everyone has had the best luck with? We have been reffered to immunologist, rheumatologist and neurologist..and assuming we have to get a tonsillectomy that would be a ENT? Is that right? Just curious what specialist has been the most helpful to everyone else.

Diana, I am so sorry for your difficulties. Research shows a close connection between thyroid function and thiamine (vitamin B1) levels. The two are integrally connected at the mitochondrial level. If either is disrupted, the other is also disrupted. Low T3 affects myelination – white matter both in the body/nerves and in the brain. Dysfunctioning mitochondria impair thyroid functioning and myelination and so it becomes a cycle that is difficult to stop unless both are treated. We have several papers on this blog on both thiamine deficiency, thyroid disease and the combination (as well as on thiamine deficiency and the factors that contribute to it). I would read and print and/or forward those to your physicians. Each of the links within our blog posts are to published, peer-reviewed articles. You might consider printing/forwarding those articles as well.

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