What causes pans flare ups?

PANS can be triggered by viruses, bacteria, mold, allergies, and even emotional trauma and stress!
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How do you stop pans from flaring?

Treatment of PANS flares includes eliminating associated factors contributing to inflammation (e.g., infection), cognitive behavioral therapy (CBT), psychiatric medications, and addressing inflammation itself.
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Do pans symptoms come and go?

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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Are pans brain inflammation?

MRI brain scans show subtle changes consistent with inflammation in a severe childhood disease in which the immune system is thought to attack the brain, Stanford researchers found.
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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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A Childhood Mystery: PANDAS and PANS Disorder



What viruses cause PANS?

PANS is when the severe onset of OCD symptoms is linked to another infection. These include the flu, chickenpox, mycoplasma, and Lyme disease. PANS stands for Pediatric Acute-onset Neuropsychiatric Syndrome.
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Is there a cure for PANS disease?

Can PANS Be Cured? Currently, there is no definitive cure for PANS, but if treatment successfully resolves any underlying infection, and reduces inflammation, children can experience dramatic symptom improvement.
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Does pans get worse?

The severity of symptoms and the onset of PANDAS/PANS will vary from patient to patient, but the symptoms usually present suddenly and intensely. Symptoms can get better and then get worse again, presenting in what's known as an episodic manner.
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Does pans OCD go away?

The idea is that getting rid of any underlying infection will stop the OCD symptoms. Some doctors disagree because it is not certain that the symptoms are caused by an infection. They think it is better to treat acute-onset OCD the same way as regular OCD, with cognitive behavioral therapy.
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Can pans cause psychosis?

Though many young people in the Stanford PANS clinic had OCD, their psychiatric illnesses went well beyond that: 40 percent had suicidal thoughts; 19 percent had homicidal thoughts; and nearly two-thirds were at risk of committing violent acts. Some 26 percent had psychosis.
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What kind of doctor treats pans?

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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What is the difference between pans and PANDAS?

With PANS, that trigger is unknown. PANDAS is thought to be triggered by a Streptococcal infection. Blood tests conducted on children with PANS may show signs of inflammation. We carefully examine the results in context of each child's illness.
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How do PANDAS rule out pans?

Criteria for a PANS Diagnosis
  1. Separation anxiety, panic, other forms of anxiety.
  2. Behavioral regression: Kids suddenly acting much younger than they should for their age, such as reverting to baby talk.
  3. Emotional lability: These children can be severely depressed, even suicidal.
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What triggers sudden OCD?

Sudden onset OCD could be triggered by other diseases, including Lyme, Mono, Mycoplasma and the flu virus (such as H1N1). Based on this and other clinical reports, the panel modified the research definition of PANDAS.
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Can PANS run in families?

#3: Researchers believe there might be a genetic component.

In a published paper describing the first 47 cases in the PANS clinic at Stanford University, researchers found that patients with PANS frequently reported psychiatric disorders and autoimmune disease in family members.
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How do you cure a pan?

If symptoms persist, nonsteroidal anti-inflammatory drugs and/or short oral corticosteroid bursts are recommended. For moderate-to-severe PANS, oral or intravenous corticosteroids may be sufficient. However, intravenous immunoglobulin (IVIG) is often the preferred treatment for these patients by most PRC members.
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Do steroids help pans?

Conclusion: Corticosteroids may be a helpful treatment intervention in patients with new-onset and relapsing/remitting PANS and PANDAS, hastening symptom improvement or resolution. When corticosteroids are given earlier in a disease flare, symptoms improve more quickly and patients achieve clinical remission sooner.
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Can Benadryl help with PANDAS?

In addition to their immunologic properties, the H1 blockers (such as diphenhydramine or Benadryl) are “soporific” drugs which produce sleepiness; this side effect can be useful for PANDAS children with initial insomnia.
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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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Are PANS fatal?

Severe/Extreme: Symptoms are incapacitating, life threatening, or occupy 71%–100% of waking hours.
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How do you treat PANS at home?

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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How do you test for PANS?

What should I do if I think my child has PANS or PANDAS?
  1. It is advised that the pediatrician test the child for both a rapid strep throat, and if negative, by culture.
  2. A peri-anal rapid strep test would be recommended if the patient is also experiencing rash, pain, redness or itching.
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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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Can Lyme disease cause PANS?

causing debilitating symptoms.

Lyme disease has been identified as one of the many infections capable of triggering a condition termed, pediatric acute-onset neuropsychiatric syndrome (PANS).
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Can adults get PANS disease?

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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