raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:42642

PFAPA syndrome

Synonyms: Marshall syndrome with periodic fever · Periodic fever-aphtous stomatitis-pharyngitis-adenopathy syndrome

Type
Disease
Group
Disorder
Inheritance
Unknown
Age of onset
Childhood, Infancy
Status
active

PFAPA (Periodic fever - aphthous stomatitis- pharyngitis - adenopathy) syndrome is an auto inflammatory syndrome characterized by recurrent febrile episodes associated with aphthous stomatitis, pharyngitis and cervical adenitis.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enPFAPA syndromeMarshall syndrome with periodic fever · Periodic fever-aphtous stomatitis-pharyngitis-adenopathy syndrome
frSyndrome PFAPAFièvre périodique type Marshall · Syndrome de fièvre périodique-stomatite aphteuse-pharyngite-adénopathie
dePFAPA-SyndromMarshall-Syndrom mit periodischem Fieber · Syndrom des periodischen Fiebers, aphthöser Stomatitis, Pharyngitis und Adenitis
esSíndrome PFAPASíndrome de Marshall con fiebre periódica · Síndrome de fiebre periódica-estomatitis aftosa-faringitis-adenopatía
itSindrome PFAPASindrome di Marshall con febbre periodica · Sindrome febbre periodica-stomatite aftosa-faringite-adenopatia
nlPFAPA-syndroomPeriodieke koorts - afteuze stomatitis - faryngitis - adenopathie-syndroom · Syndroom van Marshall met periodieke koorts
ptSíndrome PFAPASíndrome Marshall com febre periódica · Síndrome de febre periódica-estomatite aftosa-faringite-adenopatia
plZespół PFAPAZespół gorączki okresowej, aftowego zapalenia jamy ustnej, zapalenia gardła i adenopatii · Zespół Marshalla z gorączką okresową
csPFAPA syndromMarshallův syndrom s periodickou horečkou · Syndrom zahrnující periodickou horečku, aftózní stomatitidu, faryngitidu a adenopatii
ukСиндром PFAPAСиндром Маршалла з періодичною лихоманкою · Періодична лихоманка - афтозний стоматит - фарингіт - аденопатія
zhPFAPA综合征周期热-口疮性口炎-咽炎-腺病综合征
trPFAPA sendromuPeriyodik ateşli Marshall sendromu · Periyodik ateş-aftöz stomatit-farenjit-adenopati sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
ICD-10E85.0NTBTattributedvalidated
ICD-11DA01.10NTBTindexvalidated
MONDO0018540Evalidated
UMLSC4082167Evalidated
GARD5657Evalidated
MedDRA10070594Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (2):

No children.

4

Genes

0 direct

Orphanet records no gene directly on this code.

5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families500 casesWorldwideCase(s)Validated24505122[PMID]_24677969[PMID]
Point prevalenceUnknown—WorldwideClass onlyValidatedORPHANET

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

27 annotations · validated 2024-02-07
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0000163Abnormal oral cavity morphology
HP:0004370Abnormality of temperature regulation
HP:0000708Atypical behavior
HP:0002383Infectious encephalitis
HP:0002840Lymphadenitis
HP:0002716Lymphadenopathy
HP:0002076Migraine
HP:0032323Periodic fever
HP:0100776Recurrent pharyngitis
HP:0001824Weight loss
Frequent (79-30%)
HP:0002829Arthralgia
HP:0025289Cervical lymphadenopathy
HP:0002307Drooling
HP:0012378Fatigue
HP:0002315Headache
HP:0000737Irritability
HP:0003326Myalgia
HP:0025439Pharyngitis
HP:0011107Recurrent aphthous stomatitis
Occasional (29-5%)
HP:0002027Abdominal pain
HP:0001369Arthritis
HP:0002240Hepatomegaly
HP:0012514Lower limb pain
HP:0002024Malabsorption
HP:0002017Nausea and vomiting
HP:0011110Recurrent tonsillitis
HP:0001744Splenomegaly

Run the differential on the 10 obligate / very frequent terms

Annotation source: 34430824[PMID]_30798384[PMID]

7

Sources for this card