Do you have PANDAS for life?

Although it may take time, most children who have PANDAS recover completely with treatment. Symptoms tend to slowly get better over several months once the strep infection clears, but there may be ups and downs. PANDAS is likely to come back if your child gets strep again.
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Can PANDAS symptoms come and go?

In PANDAS, symptoms come on abruptly (flare) and remit. This may come in cycles and include mental health disturbances, physical symptoms and behavioral issues.
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Can PANDAS last into adulthood?

CAN TEENAGERS AND ADULTS GET PANS & PANDAS? The short answer is yes. While the focus in research has been on children with PANS, the link between the immune system and neuropsychiatric symptoms can be seen in patients of many ages.
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Can pans go away on its own?

A flare up does not last forever, and symptoms do eventually subside for most patients. In fact, some studies suggest that about 95% of kids will outgrow PANS or PANDAS by adolescence or young adulthood when their immune systems fully mature.
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Can PANDAS go undetected for years?

The strep bacteria which produce post-infectious sequelae, such as PANDAS, are often not symptomatic for pharyngitis; they produce minimal or no symptoms of sore throat, fever, abdominal pain, etc, so the infections go undetected and untreated for prolonged periods of time.
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Are PANDAS permanent?

Untreated, symptoms of PANDAS may continue to worsen and can result in permanent cognitive damage. For some children, PANDAS can become a chronic autoimmune condition.
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Is PANDAS a mental illness?

Doctors aren't sure why some children get PANDAS, but it appears to be an autoimmune disorder. That's when an infection causes your immune system to attack your body's healthy cells, in this case, cells in the brain. The strep bacteria disguise themselves to look like normal cells.
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Can you have mild PANDAS?

Mild: Symptoms are significant and cause disruptions at home and/or school. They occupy a few hours a day. The PANDAS Physicians Network (PPN) flowcharts for diagnosis and treatment will help clinicians evaluate their patients and determine the best course of treatment.
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What is the prognosis for PANDAS?

What is the prognosis for a child with PANS/PANDAS? For children who are diagnosed early and a cause has been identified, the prognosis can be very good. Some patients respond quickly and are back to 100 percent normal function, but that doesn't happen for everybody.
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How do you treat PANDAS naturally?

They can be found in the form of dietary supplements as well as in foods like yogurt, sauerkraut, and kimchi. One way that probiotics may be helpful for PANDAS is in preventing digestive problems due to antibiotics, a common treatment for PANDAS. Research has found that probiotics show promise for this purpose.
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Are autism and PANDAS related?

What is the relationship between PANDAS and autism? So far as we can tell, PANDAS does not occur more often in children with autism than among other children. However, PANDAS may be more difficult to recognize in a child with autism – due to overlapping symptoms.
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Why can't adults get PANDAS?

Oftentimes, PANS/PANDAS patients are labeled as psychiatric patients and receive improper care. It is even more challenging as a young adult because there is no adult to speak for you. Doctors assume it's all in your head because tests are so specific.
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What causes a PANDAS flare?

While strep is the initial trigger, PANDAS patients can have recurrent symptom exacerbations (flares) later in the disease when exposed to other (non-strep) infections.
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Is there a test for PANDAS?

Currently there are no definitive diagnostic laboratory tests for PANDAS, but the Cunningham Panel™ is the first and only test that was developed specifically as an aid to doctors in making their diagnosis.
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Can PANDAS be cured with antibiotics?

If symptoms of PANS or PANDAS persist despite treatment, or if no infection can be found, then the patient should be referred to our service for comprehensive evaluation. Antibiotics can dramatically improve many patients' neuropsychiatric symptoms.
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Why is PANDAS controversial?

Still, PANDAS has attracted a vocal band of proponents who have proposed it as a catchall for a wide range of mental health issues sometimes lumped under the broader term 'autoimmune encephalopathy. ' The list of purported triggers has grown from strep to include Lyme disease, mononucleosis and herpes.
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Can pans be chronic?

CHRONIC-STATIC COURSE AND REFRACTORY DISEASE COURSE

Most patients with PANS/PANDAS remit with appropriate treatment. For a few children, the clinical course may evolve to become a chronic autoimmune condition. For such cases, more aggressive treatment may be warranted.
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How common is PANDAS disorder?

PANDAS is a rare condition. It is believed that approximately one in 200 children are affected, according to PANDAS Network, a research nonprofit for the disease. Doctors may sometimes miss PANDAS diagnoses, however, due to some of the common symptoms associated with the disease.
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Whats the difference between pans and PANDAS?

When it's clear that a child's symptoms are linked to a strep infection (like strep throat), it's called PANDAS. It stands for Pediatric Acute-onset Neuropsychiatric Disorders Associated with Streptococcus. PANS is when the severe onset of OCD symptoms is linked to another infection.
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How do I know if my child has a panda?

What is PANS/PANDAS?
  1. Anxiety (often social/separation)
  2. Emotional changes or Depression.
  3. Irritability, Aggression or Oppositional behavior.
  4. Behavioral or developmental regression (i.e., baby talk)
  5. Deterioration in school performance, ADHD like symptoms, memory and cognitive changes.
  6. Sensory or motor changes.
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How do you test PANDAS pans?

To test for the possibility of PANDAS/PANS, your family doctor will likely first complete a physical examination, starting with a test for strep via throat swab or possibly blood test for antibodies. In some cases, depending on the test results, your doctor may continue searching for other bacterial infections.
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Can PANDAS cause schizophrenia?

If the PANDAS patients are not treated for longer periods, schizophrenic symptoms may be unavoidable because of the damage in particular parts of the brain. Boin et al. found significant association between − 308 G/A polymorphism and schizophrenia.
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What kind of doctor treats PANDAS syndrome?

Doctors who treat PANDAS syndrome come from a variety of backgrounds. Pediatrics, neurology, hematology/oncology, psychology, psychiatry, integrative medicine, immunology and rheumatology are just a few of the specialties of PANDAS doctors.
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How do you treat Panda pans?

Antibiotic Treatment for PANDAS

Cephalexin, azithromycin, clindamycin, clarithromycin, and cefadroxil are recommended in patients with persistent or relapsing strep throat, as they may be more effective.
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Are all PANDAS born female?

Oh yes – and all pandas are born female. Males are only created if a panda receives a fright in its first 48 hours of life. This is why some zoos employ panda spookers.
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