Pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections (PANDAS) most commonly present as obsessive-compulsive disorder (OCD) and/or tic disorder dev...
The diagnosis of PANDAS is a clinical diagnosis.
Diagnostic criteria (1)
Sudden or worsening presence of OCD or tic disorder symptoms
Age of onset between 3 years and puberty
Abrupt onse...
Antibiotics indicated specifically for the treatment of acute GABHS infections
Symptomatic treatment of OCD/tics with cognitive-behavioral therapy and/or selective serotonin r...
Primary care or pediatric infectious disease for recurrent episodes of GABHS infection
Pediatric psychiatry
Pediatric neurology
Children enrolled in clinical trials ...
Chiarello F, Spitoni S, Hollander E, et al. An expert opinion on PANDAS/PANS: highlights and controversies. Int J Psychiatry Clin Pract. 2017;21(...
B95.0 Streptococcus, group A, causing diseases classd elswhr
D89.89 Other specified disorders involving the immune mechanism, not elsewhere classified
F95.9 Tic disorder, unspecified
F42 Obses...
Consider testing for acute GABHS infection in children with abrupt onset of OCD symptoms or tics.
Prophylactic antibiotics and/or immunomodulatory therapy to treat PANDAS is not recomme...
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