Yikes, have fun with that? At least it’s not contagious, unlike most forms of aphthous stomatis (like cold sores).
I assume to be diagnosed with this condition, you’ve already been tested for Epstein-Barr and cytomegalovirus, but as you’ve seen, it can mimic those two viruses (which many people know from having mono) combined with cold sores (painful little mouth ulcers that hurt much more than their size would suggest they should).
PFAPA, to those who don’t know, is Periodic Fever, Aphthous Stomatitis, Pharyngitis and Adenopathy, and generally presents as, well, exactly what its name implies - periodic fever, “cold sores”, sore throat, and swollen lymph nodes (most often in the throat, just like in mono). It usually lasts a few days at a time, several (3+) times a year.
Generally, it seems to be an autoimmune reaction to a previous infection, and what it isn’t, and how it responds to symptomatic treatment tend to be the defining factors for diagnosis. Once the viruses and genetic or autoimmune conditions that cause similar symptoms are excluded, the patient is generally given a prednisone injection when the fever flares again - if the fever decreases immediately, the patient is diagnosed with PFAPA.
While most patients are diagnosed between 3 weeks and 7 years of age, and the condition almost always resolves on its own by 10 years old, teens and adults are occasionally diagnosed. Teenagers often overcome the condition on their own, though it may take up to two decades. Adults sometimes never overcome it, though their ability to self-treat with prednisone injections and anti-inflammatory medications can minimize the impact to their professional and personal lives.
more on PFAPA:
Ooh, that was poorly worded of me - I meant that while there are some VERY long-living arthropods out in the wild (especially insect queens, which can sometimes live decades), humans don’t regularly come into contact with any bugs that live longer than house centipedes.
The most commonly encountered house bugs in temperate climates are fruit flies (which live a few days to several weeks), other flies (several weeks to a couple months), ants (several weeks), and house spiders (most live up to a year).
So with its lifespan being 3+ years, house centipedes often out-stay renters in apartments, if they’re not killed off.
this looks like a spam message
The person responded to my email personally so while I don’t doubt it was spam, it was spam sent out by someone.
Besides, I haven’t mentioned creative commons stuff since 4.0 was codified. I have slightly different views now than I did last time I brought it up, and this reminded me of that.
Well, humans don’t have prominent (or, according to many researchers, present) Tyson glandulae, but aside from that, the differential diagnoses for HPV include:
Hirsutoid papillomas (pearly penile papules - sometimes mistaken for Tyson glandulae, and which affect up to 30% of males aged 20-40 years) are uniform, arranged in rows, and do not have any other HPV symptoms. They can last and recur over many years, while HPV infection is self-limiting to under two-years. They’re also harmless.
Syphilis causes open or ulcerative sores, swellings that go away and then present secondary symptoms, is non-uniform (like HPV), and has easy cures and testing available.
More on HPV and penile papules: