Pediatric autoimmune neuropsychiatric disorders associated
with streptococcal infections (PANDAS) is a term used to describe what happens
with some children who have symptoms of certain disorders that get worse
following infections such as strep throat or scarlet fever. The disorders whose
symptoms get worse include obsessive compulsive disorder (OCD) and tic
disorders such as Tourette's disorder.
Symptoms of OCD or tics get
suddenly worse in children with PANDAS. Other symptoms may include:
- Being hyperactive or
fidgety.
- Having trouble being in a different room from his or her
parents or being clingy (separation anxiety).
- Being irritable, sad,
or having other mood changes.
- Not being able to
sleep.
- Wetting the bed at night or having to urinate often during
the day.
- Changes in handwriting.
- Pain in joints.
Treatments for children with PANDAS are the same as used
for symptoms of OCD or tic disorders. This includes cognitive-behavioral
therapy or medicines or a combination of both. Treatment may also include
immunotherapy like IVIG or plasma exchange. Immunotherapy is a treatment that
uses the body's own immune system to treat an illness. You and your doctor can
decide which treatments are best for your child.
