Is the Cunningham panel worth it?

The Cunningham Panel demonstrated an overall accuracy of 86% to 90%, a sensitivity of 88% and a specificity of 83% to 92% when comparing clinical symptoms to test results.
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What does the Cunningham panel tell you?

The Cunningham Panel™ is a blood test which measures the levels of circulating autoantibodies associated with certain neurologic and psychiatric symptoms. Elevated levels indicate that symptoms may be due to an infection-driven autoimmune problem, rather than a neuropsychiatric disorder.
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How long does the Cunningham panel take?

HOW DO I RECEIVE CUNNINGHAM PANEL™ RESULTS? Patient results are uploaded to our secure Prescriber Portal and you will be notified by e-mail when results are available. Please allow approximately 3-4 weeks for completion of testing for all five test in the panel.
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How much does the Cunningham panel cost?

The Cunningham Panel™ Testing Costs

The cost of the Cunningham Panel™ of Tests is $925. This amount is the responsibility of the patient/responsible party.
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How do I order Cunningham panels?

Cunningham Panel™ Process
  1. Have your clinician prescribe the panel by placing an order on our secure prescriber portal, ordering on a script pad, or completing a paper requisition (available upon provider request from Moleculera Labs).
  2. Be sure to provide your clinician with a valid email address so we may contact you.
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Cunningham Panel: What the test measures



Where can I buy Cunningham panels?

Locating a lab to draw blood for The Cunningham Panel™
  • Your family doctor's office or clinic.
  • A small local clinical laboratory (Perform an internet search for “clinical laboratories” in your city or county)
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What are the symptoms of pans?

What Are the Symptoms of PANDAS and PANS?
  • tics or jerky movements.
  • anxiety, depression, or mood swings.
  • acting aggressive or "hyper"
  • using baby talk, acting clingy, or having new bedtime fears.
  • sudden trouble with handwriting or other fine motor skills.
  • new trouble with memory, reading, or math.
  • new bedwetting, not sleeping.
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Is pans an autoimmune disease?

PANS and PANDAS are infection-induced autoimmune conditions that disrupt a patient's normal neurologic functioning, resulting in a sudden onset of Obsessive Compulsive Disorder (OCD) and/or motor tics.
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Will PANDAS go away?

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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How does PANDAS affect the brain?

PANDAS occurs when the immune system produces antibodies, intended to fight an infection, and instead mistakenly attacks healthy tissue in the child's brain, resulting in inflammation of the brain (basal ganglia section) and inducing a sudden onset of movement disorders, neuropsychiatric symptoms and abnormal ...
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Can adults have PANDAS?

Could an adult develop PANDAS? PANDAS is considered a pediatric disorder and typically first appears in childhood from age 3 to puberty. Reactions to strep infections are rare after age 12, but researchers recognize that PANDAS could occur, though rarely, among adolescents.
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What is PANDAS medical condition?

Pediatric autoimmune neuropsychiatric disorder associated with streptococcal infections (PANDAS) is a disorder that results from infection with streptococcal-A, commonly referred to as strep, or strep throat.
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How do you test for PANDAS?

To diagnose a strep infection, your pediatrician may take a throat culture or run a blood test. However, there are no laboratory or neurological tests to diagnose PANDAS. Instead, your doctor may want to perform a variety of blood and urine tests to rule out some other childhood ailments.
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Can a child have mild PANDAS?

Children with mild symptoms have obvious impairments as a result of their PANS/PANDAS symptomatology, but these are limited to certain situations or settings.
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Is there a cure for pans?

Antibiotics can dramatically improve many patients' neuropsychiatric symptoms. Once treated, the symptoms that came on overnight can stop almost as quickly.
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Can PANDAS cause autism?

As a mother of two children that have been diagnosed with PANDAS, the symptoms are real, the treatment is real and no, they don't have autism. Severe motor tics, OCD, behavioural and sensory issues will appear almost overnight and disappear with treatment of penicillin and anti inflammatories.
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Does PANS ever go away?

PANS/PANDAS is an “episodic illness”, meaning symptoms can go away for a while after an infection is treated, but they can come back again, in what is called a flare-up or relapse of the disorder.
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Can PANS cause bipolar?

It is hypothesized that part of the significant rise in the number of youngsters being given the diagnosis of Pediatric Bipolar Disorder, may be due to the lack of recognition of PANS and / or PANDAS.
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How long does a PANS flare last?

Flares not treated with NSAIDs had a mean duration of approximately 12.2 weeks (95% CI: 9.3–15.1).
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Can a child recover from PANS?

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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Are PANS genetic?

The latest studies indicate that youth who get PANS might have a genetic predisposition for the syndrome, which is then likely triggered by something such as an infection or environmental factors.
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What is Pan anxiety?

PANS is a clinical diagnosis given to children who have a dramatic – almost overnight – onset of neuropsychiatric symptoms including Obsessive Compulsive Disorder (OCD) and/or eating disorder. Children may become moody, irritable and anxious and have difficulty with schoolwork.
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What is the best antibiotic to treat PANDAS?

Azithromycin and penicillin have been utilized in the treatment of PANDAS with observations of improvement in neuropsychiatric symptoms.
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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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Is PANDAS treatment covered by insurance?

Covered PANDAS/PANS treatment includes, but is not limited to, intravenous immunoglobulin (IVIg) therapy. Harvard Pilgrim's commercial Intravenous Immune Globulin (IVIG) Medical Policy has been updated to reflect the new coverage.
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