{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T01:09:04Z","timestamp":1781658544051,"version":"3.54.5"},"reference-count":21,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,9,9]],"date-time":"2021-09-09T00:00:00Z","timestamp":1631145600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>This study aims to evaluate the utility of genetic testing of patients diagnosed with periodic fever syndromes and to assess the validity of existing scoring criteria.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study retrospectively reviewed the clinical history of patients diagnosed with periodic fever syndromes at Queensland Children's Hospital between November 2014 and June 2018.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Forty\u2010three patients were diagnosed with periodic fever syndromes. Diagnoses in the cohort included periodic fever, adenitis, pharyngitis and aphthous stomatitis (10), tumour necrosis factor receptor\u2010associated periodic syndrome (9), cryopyrin\u2010associated periodic syndrome (6), mevalonate kinase deficiency (4) while 14 remained unspecified. No presenting symptoms were uniquely associated with any particular diagnosis. Genetic testing of between 1 and 26 genes was performed in 26 (60%) patients. Two (7.7%) patients had pathogenic variants identified. Variants of uncertain significance which were insufficient to confirm a monogenic disorder were identified in a further 7 (27%) patients. The Eurofever classification criteria correlated with clinical diagnosis for patients diagnosed with cryopyrin\u2010associated periodic syndrome (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.046) and tumour necrosis factor receptor\u2010associated periodic syndrome (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.025) but not for patients diagnosed with mevalonate kinase deficiency (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.47); however, the Eurofever classification criteria were often positive for more than one diagnosis in these patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The European classification criteria can form a potentially useful tool to guide diagnosis; however, clinical judgement remains essential, because the score is often positive for multiple diagnoses. The diagnostic yield of genetic testing in this cohort was low and genetic testing may be more useful to confirm a strong clinical suspicion than to clarify a diagnosis for patients with less clear symptoms.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.15722","type":"journal-article","created":{"date-parts":[[2021,9,9]],"date-time":"2021-09-09T15:26:15Z","timestamp":1631201175000},"page":"404-408","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Making a diagnosis of periodic fever syndrome: Experience from a single tertiary centre"],"prefix":"10.1111","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4600-8839","authenticated-orcid":false,"given":"Peter","family":"McNaughton","sequence":"first","affiliation":[{"name":"Immunology Department Queensland Children's Hospital  South Brisbane Queensland Australia"},{"name":"University of Queensland  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5679-4650","authenticated-orcid":false,"given":"Sophie","family":"Willcocks","sequence":"additional","affiliation":[{"name":"Immunology Department Queensland Children's Hospital  South Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Su Han","family":"Lum","sequence":"additional","affiliation":[{"name":"Children's haematopoetic stem cell transplant unit Great North Children's Hospital  Newcastle Upon Tyne United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ben","family":"Whitehead","sequence":"additional","affiliation":[{"name":"University of Queensland  Brisbane Queensland Australia"},{"name":"Rheumatology Department Queensland Children's Hospital  South Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane","family":"Peake","sequence":"additional","affiliation":[{"name":"Immunology Department Queensland Children's Hospital  South Brisbane Queensland Australia"},{"name":"University of Queensland  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kahn","family":"Preece","sequence":"additional","affiliation":[{"name":"Paediatric Immunology Department John Hunter Children's Hospital  Newcastle New South Wales Australia"},{"name":"University of Newcastle  Newcastle Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,9,9]]},"reference":[{"key":"e_1_2_6_2_1","first-page":"756","article-title":"Approach to recurrent fever in childhood","volume":"63","author":"Soon GS","year":"2017","journal-title":"Can. 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