{"id":16,"date":"2026-10-15T13:57:56","date_gmt":"2026-10-15T13:57:56","guid":{"rendered":"http:\/\/pedirom.org.tr\/index.php\/pfapa-periyodik-ates\/"},"modified":"2026-10-15T13:57:56","modified_gmt":"2026-10-15T13:57:56","slug":"pfapa-periyodik-ates","status":"publish","type":"page","link":"https:\/\/pedirom.org.tr\/index.php\/pfapa-periyodik-ates\/","title":{"rendered":"PFAPA ve Periyodik Ate\u015f Sendromlar\u0131"},"content":{"rendered":"<figure class=\"pr-fig\"><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/pedirom.org.tr\/wp-content\/themes\/cocuk-romatoloji-rehberi\/assets\/img\/pfapa-periyodik-ates.jpg\" alt=\"PFAPA ve Periyodik Ate\u015f Sendromlar\u0131 \u2013 temsil\u00ee ill\u00fcstrasyon\" width=\"1200\" height=\"750\"><figcaption>Temsil\u00ee ill\u00fcstrasyon<\/figcaption><\/figure>\n<p>PFAPA, periyodik ate\u015f, a\u011f\u0131zda aftlar, bo\u011faz iltihab\u0131 ve boyunda lenf bezi b\u00fcy\u00fcmesinin ba\u015f harflerinden olu\u015fan bir sendromdur. \u00c7ocukluk \u00e7a\u011f\u0131nda en s\u0131k g\u00f6r\u00fclen periyodik ate\u015f sendromudur ve genellikle be\u015f ya\u015f\u0131ndan \u00f6nce ba\u015flar.<\/p>\n<h2>Belirtiler<\/h2>\n<p>En belirgin \u00f6zellik, saat gibi d\u00fczenli aral\u0131klarla, \u00e7o\u011fu zaman \u00fc\u00e7 ila alt\u0131 haftada bir tekrarlayan ve birka\u00e7 g\u00fcn s\u00fcren y\u00fcksek ate\u015ftir. Ate\u015fe a\u011f\u0131zda aftlar, bo\u011faz k\u0131zar\u0131kl\u0131\u011f\u0131 ve boyunda hassas lenf bezleri e\u015flik edebilir. Ataklar aras\u0131nda \u00e7ocuk tamamen sa\u011fl\u0131kl\u0131d\u0131r ve b\u00fcy\u00fcme geli\u015fmesi normaldir.<\/p>\n<h2>Tan\u0131<\/h2>\n<p>PFAPA\u2019ya \u00f6zg\u00fc bir test yoktur; tan\u0131, ataklar\u0131n d\u00fczeni ve \u00f6zellikleriyle konur ve benzer tablolar yapan di\u011fer nedenlerin d\u0131\u015flanmas\u0131n\u0131 gerektirir. Ate\u015f g\u00fcnl\u00fc\u011f\u00fc tutmak tan\u0131 i\u00e7in \u00e7ok de\u011ferlidir; bu konuda <a href=\"http:\/\/pedirom.org.tr\/index.php\/cocuk-romatoloji-muayenesi\/\">muayeneye haz\u0131rl\u0131k<\/a> sayfam\u0131za bakabilirsiniz. Bo\u011faz k\u00fclt\u00fcr\u00fcn\u00fcn negatif olmas\u0131 ve antibiyotiklere yan\u0131t al\u0131nmamas\u0131 tan\u0131y\u0131 destekler.<\/p>\n<h2>FMF ve di\u011fer sendromlardan fark\u0131<\/h2>\n<p>\u00dclkemizde s\u0131k g\u00f6r\u00fclen <a href=\"http:\/\/pedirom.org.tr\/index.php\/ailevi-akdeniz-atesi-fmf\/\">Ailevi Akdeniz Ate\u015fi<\/a> de tekrarlayan ate\u015fle seyreder; ancak FMF\u2019de kar\u0131n ve g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131 \u00f6n plandad\u0131r ve ataklar daha d\u00fczensizdir. Baz\u0131 \u00e7ocuklarda iki durumun \u00f6zellikleri bir arada g\u00f6r\u00fclebilir. Daha nadir g\u00f6r\u00fclen di\u011fer kal\u0131tsal periyodik ate\u015f sendromlar\u0131 da ay\u0131r\u0131c\u0131 tan\u0131da de\u011ferlendirilir.<\/p>\n<h2>Tedavi ve seyir<\/h2>\n<p>PFAPA genellikle iyi huyludur ve \u00e7o\u011fu \u00e7ocukta y\u0131llar i\u00e7inde kendili\u011finden ge\u00e7er. Atak s\u0131ras\u0131nda hekimin \u00f6nerdi\u011fi tek doz kortizon ate\u015fi h\u0131zla d\u00fc\u015f\u00fcrebilir; ancak baz\u0131 \u00e7ocuklarda atak aralar\u0131n\u0131 k\u0131saltabilir. S\u0131k ve ya\u015fam kalitesini bozan ataklarda bademcik ameliyat\u0131 bir se\u00e7enek olarak konu\u015fulabilir. Tedavi karar\u0131 \u00e7ocu\u011fun durumuna g\u00f6re hekimle birlikte verilir. Genel ate\u015f de\u011ferlendirmesi i\u00e7in <a href=\"http:\/\/pedirom.org.tr\/index.php\/cocuklarda-tekrarlayan-ates\/\">tekrarlayan ate\u015f<\/a> sayfam\u0131za bakabilirsiniz.<\/p>\n<p class=\"kaynak\"><small>Genel bilgi kaynaklar\u0131: PRINTO\/Eurofever periyodik ate\u015f s\u0131n\u0131flama \u00f6l\u00e7\u00fctleri (2019); Avrupa Pediatrik Romatoloji Derne\u011fi (PRES) ve SHARE giri\u015fimi \u00f6nerileri. Kontrol tarihi: Ekim 2026. Bu sayfa hekim incelemesinden ge\u00e7mi\u015f bir t\u0131bbi metin de\u011fildir; tan\u0131 ve tedavi i\u00e7in \u00e7ocu\u011funuzun hekimine ba\u015fvurun. Acil durumda 112\u2019yi aray\u0131n.<\/small><\/p>\n","protected":false},"excerpt":{"rendered":"<p>PFAPA sendromu: d\u00fczenli aral\u0131klarla tekrarlayan ate\u015f, aft, bo\u011faz a\u011fr\u0131s\u0131 ve boyunda bez b\u00fcy\u00fcmesi, FMF\u2019den fark\u0131, tan\u0131 ve tedavi se\u00e7enekleri.<\/p>\n","protected":false},"author":0,"featured_media":0,"parent":0,"menu_order":9,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-16","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/pedirom.org.tr\/index.php\/wp-json\/wp\/v2\/pages\/16","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pedirom.org.tr\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/pedirom.org.tr\/index.php\/wp-json\/wp\/v2\/types\/page"}],"replies":[{"embeddable":true,"href":"https:\/\/pedirom.org.tr\/index.php\/wp-json\/wp\/v2\/comments?post=16"}],"version-history":[{"count":2,"href":"https:\/\/pedirom.org.tr\/index.php\/wp-json\/wp\/v2\/pages\/16\/revisions"}],"predecessor-version":[{"id":61,"href":"https:\/\/pedirom.org.tr\/index.php\/wp-json\/wp\/v2\/pages\/16\/revisions\/61"}],"wp:attachment":[{"href":"https:\/\/pedirom.org.tr\/index.php\/wp-json\/wp\/v2\/media?parent=16"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}