For the longest time I just stopped taking her to the Dr when she got a fever. She had one or 2 ear infections I took her in for, but that was it. She was growing OK. Eating OK and acting like a normal child. When she did not have the fevers I actually forgot (sometimes) that she ever got them at all. But when she did get them they hit sudden and hard.
It was in May of 2009, I broke down and took her back to the Dr. As soon as the Dr came in, I told her exactly what was going on and how I do not believe that it could be ‘just a virus.’ She looked her over, did the normal sick visit exam. She then told me it could be a number of things, one of which was a virus (go figure). I told her how I could track her fevers and I had them all written down over the past year or more. She did go on to tell me that it is common for kids to get viruses, up to 12 or sometimes more a year, but she was happy to check other things out. I was then anxious but relieved that I finally found a Dr. who was willing to look deeper into this. She did a CBC w/ differential. ESR. and blood cultures. Later that day she called and told me her blood work was pretty normal, except for a slightly elevated ESR and she was anemic. I was to start her on vitamins w/ iron and get her iron level checked 3 months later.
I sometimes wonder if anemia is another symptom of the PFAPA? I would think it is common for children to be anemic (iron deficiency) since a lot of them are so picky when it comes to food. Laney still does not eat red meat and she hates spinach…Anyone else have the problem w/ anemia in a child w/ PFAPA?