Table 3. Comparison of PFAPA, SURF, monogenic HRF (i.e., FMF, TRAPS, CAPS, and MKD), and cyclic neutropenia [12,19,35,38]

Disease Gene Pathogenesis Fever pattern Features other than fever Inheritance
PFAPA - (polygenic) - Periodic (28 days) for 2–7 days Aphthous stomatitis, pharyngitis, adenitis, Abdominal pain, headache, rash, arthralgia - (some AD)
SURF - - Irregular for 3–5 days Oral ulcers, pharyngitis, adenitis, abdominal pain, arthralgia, fatigue, eye manifestations -
Monogenic HRF
 FMF MEFV IL-1 and inflammasomopathy Irregular and short (< 3 days) Arthralgia, erysipelas-like rash, chest pain, serositis, amyloidosis, early childhood-onset AR (1/3 AD)
 TRAPS TNFRSF1A ER stress Irregular and prolonged (> 7 days) Abdominal pain, chest pain, splenomegaly, serositis, periorbital edema, conjunctivitis, rash with myalgia, arthritis, infancy-onset AD
 CAPS NLRP3 IL-1 and inflammasomopathy Irregular and short (< 3 days) Rash, conjunctivitis, deafness, NOMID, Muckle-Wells syndrome, neonatal-onset AD
 MKD (formerly, HIDS) MVK IL-1 and inflammasomopathy Periodic (2–8 weeks) for 3–7 days Rash, oral ulcer, pharyngitis, adenopathy, abdominal pain, serositis, infancy-onset AR
Cyclic neutropenia ELANE - (ER stress) Periodic (21 days) for 3–5 days Stomatitis, oral ulcers, pharyngitis, malaise, abdominal pain, neutropenia (blood tests) AD
PFAPA: periodic fever, aphthous stomatitis, pharyngitis, and adenitis; SURF: syndrome of undifferentiated recurrent fever; HRF: hereditary recurrent fever; FMF: familial Mediterranean fever; TRAPS: tumor necrosis factor receptor-associated periodic syndrome; CAPS: cryopyrin-associated periodic syndrome; MKD: mevalonate kinase deficiency; HIDS: hyperimmunoglobulin D syndrome; ER: endoplasmic reticulum; AD: autosomal dominant; AR: autosomal recessive; NOMID: neonatal onset multisystem inflammatory disease.