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PANDAS: A Guide for Parents
PANDAS stands for pediatric autoimmune neuropsychiatric disorders associated with streptococcus. The syndrome involves sudden and often major changes in personality, behavior, and movement in children following an infection involving Streptococcus pyogenes (streptococcal-A infection).
What are the symptoms?
The symptoms of PANDAS start suddenly, about four to six weeks after a strep infection. They include behaviors similar to obsessive-compulsive disorder (OCD) and Tourette syndrome. These symptoms can interfere with schooling and quickly become debilitating. Symptoms worsen and reach their peak usually within two to three days, unlike other childhood psychiatric illnesses that develop more gradually.
Psychological symptoms may include:
obsessive, compulsive, and repetitive behaviors
separation anxiety, fear, and panic attacks
incessant screaming, irritability, and frequent mood changes
emotional and developmental regression
visual or auditory hallucinations
depression and suicidal thoughts
Physical symptoms may include:
tics and unusual movements
sensitivities to light, sound, and touch
deterioration of small motor skills or poor handwriting
hyperactivity or an inability to focus
memory problems
trouble sleeping
refusing to eat, which can lead to weight loss
joint pain
frequent urination and bedwetting
near catatonic state
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