Periodic fever syndrome is a self-inflammatory disease. Since the disease is benign and self-limiting, the present study aimed to achieve a model to detect and differentiate it from other infectious diseases .In this study all children residing in Ilam who were suspected of Marshall Syndrome were examined. We chose a sample comprising children referred to Imam Hospital clinic of Ilam in 2012. Inclusion criteria consisted of more than three periods of fever without a source of infection, fever periods shorter than 5 days and repeated at intervals of about one month. The collected data were analyzed using SPSS software 16. We used both of descriptive and inferential statistics, Kolmogrov smirnov, Chi-square. Significance level of P ≤ 0.05 was considered. The average of patients' age was 4.9 ± 1.8 months and their gender perception was 85.7 male and 14.3 female. In this study the average age of symptoms emergence was 48.33 ± 23.25 month. The average of fever periods in surveyed patients was 4.09 ± 0.88 days (minimum 3 days & maximum 5 days) and the intervals between fever periods was 40.23 ± 16.84 in average. The applied treatments in this study were Prednisolone and Ttonsillectomy. There was significant relationship between age and the symptoms (P<0.007). By having a true perception of Marshall Syndrome using diagnosis criteria, we could prevent uncontrolled prescription of antibiotics and their possible side effects, and it is a positive step towards reducing healthcare costs
