Overview of Ella's Symptoms

I took the time to convert my handwritten notes over to a typed chart for the infectious disease doctor appointment. I decided to post on my blog for those who are interested. It, hopefully, gives you a better understanding of Ella's symptoms within the past few months. The highlighted words are the classic symptoms of pfapa, as well as the timely pattern of her episodes.  I will update the chart as we continue our journey.

Notes and Dates of Ella's Symptoms (Pfapa?)

(Periodic fever, aphthous stomatitis, pharyngitis and adenitis)

** In between Ella’s ‘episodes’ she returns to her energetic normal self with no fevers. Appetite returns as well.

Dates	Symptoms	Treatments
December 14 – 24	Fever (100-103), bad congestion, ear infection, dark circles under eyes, bad cough	Amoxicillin for ear infection, But fever continued, Tylenol, motrin for fevers Blood work drawn - all normal (trip to doctor – ear infection)
January 13 – 18 (Sunday – Friday)	Began with leg  and arm pain, very thirsty (icy cold water), circle under eyes, eye pain, headache, red throat, and fevers (100.5-103.4) – Elevated during evening times	Tylenol, motrin Lots of cold water Cool cloths on head No lights on in bedrooms, liked it dark (Trip to doctor – neg: strep, ear, uti)
January 28 – 30 (Monday – Weds)	Fever began low grade (99.5-100.4), red throat, small white patches on tonsils, ulcer inside lower lip and cheeks, leg and arm pain, stiff neck	No motrin/tyl needed for fevers (trip to doctor – neg: strep, ear, uti)
Febuary 7 – 14 (Friday – Weds)	Began with low grade fever (99.5), leg pain, stomach ache. Fever increased each day (101-104), few ulcers in mouth, glands slightly swollen (neck), red throat, cough, very sleepy, no appetite	Tyl/Motrin Blood work drawn – crp elevated; rest normal Usual tests run – neg on all
Febuary 26 – March 1 (Tuesday – Friday)	Began suddenly (11 am at school) – fever at 101.2, extremely sleepy, dark circles, head, eyes hurt Bad chills High fever – 105 by Weds 2 ulcers in mouth Friday morning was fever free	Tyl/motrin No trip to doctor
March 3 – 7 (Sunday – Thursday) **Possible virus this time**	Sunday late afternoon began a Fever (101). Became very tired, headache, vomited twice in row Fever continued in the afternoon hours for a couple of days. Increased to 104 Very sleepy, fever free Thursday	Tyl/motrin Trip to doctor – neg on all tests