Dear team , kid in our family is having high fever for last 5 weeks, doctors are unable to find reson, need help....
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replied February 24th, 2017
It is very common for children to get fevers, and frequent illnesses in their early years, so it can be very hard to distinguish between a periodic fever syndrome, and a normal viral illness at first.

Recurrent fevers in a child can be due to conditions including - periodic fever syndromes, recurrent infection, immunodeficiency syndromes, or autoimmune diseases.

In the autoinflammatory diseases, which includes the periodic fever syndromes, the fevers are often the most obvious symptom. Fevers are accompanied, or are quickly followed by other symptoms throughout the body. These other symptoms can include rash, joint pain, stomach pain, chest pain, mouth ulcers, headache, red eyes, and extreme fatigue. In fever syndromes, the flares are often distinct, increasing in severity for days to weeks and then improving without explanation. The additional symptoms will usually also increase and decrease with the fever.

It would be recommended that you get a few tests including - CRP, ESR, Complete blood counts, Immunoglobulin assay (IgD, IgA, IgE, IgG & IgM) and Anti Nuclear Antibody (ANA).

Based on the complete clinical assessment and the above tests, further advice about diagnosis or management of your childs condition can be provided by your treating doctors.

I hope this helps.



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