Can pans be mistaken for autism?

PANS/PANDAS patients are commonly misdiagnosed with Autism, Tourette's Syndrome, OCD, bipolar disorder, ADHD, Oppositional Defiance, or an eating disorder. However, PANS/PANDAS patients can have co-occurring conditions of Autism, ADHD, autoimmune illnesses, immunodeficiencies, and more.


Can PANDAS be confused with autism?

PANDAS, an autoimmune disorder characterized by sudden onset symptoms that can imitate OCD and autism, is a rare disease that may go undiagnosed in children with ASD. Immediate, intense shifts in behavior, academics, mood, and new compulsions are hallmarks of PANDAS, which is triggered by a strep infection.

What other conditions can be mistaken for autism?

Conditions That Mimic Autism
  • Obsessive-compulsive disorder (OCD) The symptoms of OCD, such as compulsive hand washing, cleaning or touching items like doorknobs, can resemble the repetitive motions of autism. ...
  • Antisocial personality disorder. ...
  • Schizophrenia. ...
  • Learning disorders. ...
  • Attention Deficit Hyperactive Disorder (ADHD)


What's the difference between PANDAS and autism?

What distinguishes PANDAS from autism symptoms or classic OCD is the sudden onset of symptoms. As mentioned, this can include new anxieties and compulsive behaviors. Importantly, these symptoms are often accompanied by some tell-tale symptoms not usually seen with classic OCD.

Is PANDAS misdiagnosed?

PANS and PANDAS can be misdiagnosed as psychiatric illness

Patients with PANS and PANDAS may be misdiagnosed with a psychiatric illness or behavioral disorder, when the symptoms may be the result of a treatable autoimmune dysfunction.


PANS in Autistic Children: How to Identify and Treat It



How do I know if my child has pans?

Kids with PANDAS and PANS will have sudden and severe obsessions, compulsions, or both. Obsessions. A child may have new and intense fears. Or new and intense concerns about things being even, clean, dirty, or a set way.

Can a child show symptoms of autism but not autistic?

Not all children with autism show all the signs. Many children who don't have autism show a few. That's why professional evaluation is crucial.

How do you rule out autism?

Diagnosing autism spectrum disorder (ASD) can be difficult because there is no medical test, like a blood test, to diagnose the disorder. Doctors look at the child's developmental history and behavior to make a diagnosis. ASD can sometimes be detected at 18 months of age or younger.


Is it possible to be wrongly diagnosed with autism?

Autism Spectrum Disorder (ASD) can be very complex to understand, which can unfortunately result in high levels of autism misdiagnosis in adults. This is often the result of a widespread unfamiliarity with the symptoms, especially in cases where they were never evaluated during childhood.

Do kids outgrow pans?

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.

How do you rule out 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.


Is Pans a real diagnosis?

Pediatric Acute-onset Neuropsychiatric Syndrome (PANS) is a clinical diagnosis given to children who have a dramatic – sometimes overnight – onset of neuropsychiatric symptoms including obsessions/compulsions or food restriction.

Why is PANDAS a controversial diagnosis?

Why Some Doctors Believe PANDAS Isn't a Real Diagnosis. PANDAS affects vulnerable children ages 3 through 13 — with boys twice as likely to be diagnosed. ¹ It causes OCD and other frightening neuropsychiatric symptoms to develop overnight. PANDAS scares the parents just as much as the children.

What causes pans flare ups?

PANS can be triggered by viruses, bacteria, mold, allergies, and even emotional trauma and stress!


Does PANDAS show up in blood work?

Currently, there is no single blood test that detects PANDAS or PANS. However, lab tests can guide healthcare professionals in the right direction for diagnosing and treating your child's condition.

How do you test a child for PANDAS?

The diagnosis of PANDAS is a clinical diagnosis, which means that there are no lab tests that can diagnose PANDAS.

Do kids with PANDAS get better?

Will my child get better? 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.


Can PANDAS cause speech delay?

Speech, language and feeding can be impacted due to the antibodies attacking the brain in response to PANDAS/PANS. A child may suddenly begin stuttering or even develop selective mutism. Because of this, children with PANDAS/PANS are at a higher chance of coming across an SLP's caseload.

Which parent carries autism gene?

Due to its lower prevalence in females, autism was always thought to have a maternal inheritance component. However, research also suggests that the rarer variants associated with autism are mostly inherited from the father.

Can PANDAS cause sensory issues?

PANDAS/PITAND is a recently- identified disorder autoimmune disorder resulting in the child's own antibodies targeting the basal ganglia and interfering with function. Children with PANDAS/PITAND frequently have problems with tics, OCD, sensory defensiveness, and handwriting deterioration.


Can a neurologist diagnose PANDAS?

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.

How often is autism a misdiagnosis?

About 70% to 80% of autistic people with milder forms of ASD are also diagnosed with another psychiatric condition. In fact, more than half of young autistic children have four or more other conditions.

What is pseudo autism?

It describes a person who may appear to be neurotypical, but is actually autistic or neurodivergent. Now, this can technically describe many autistic people, since we tend to feel a lot of pressure to be socially appropriate or camouflage/mask our autistic traits to prevent being excluded.


Can you have autism and still act normal?

Mildly autistic people are unable to understand the body language or emotions (sarcasm, pain and anger) of the people around them. However, they have normal intelligence and can carry their day-to-day activities.

What do mild cases of autism look like?

Characteristics of Mild Autism

Repetitive or fixated behaviors, interests, or activities: Autistic people often repeat movements or words as a way to self-regulate, a behavior often referred to as “stimming.” They may also adhere to specific routines and have specific and intense interests.