Is PANDAS similar to 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 type of disorder is PANDAS?

PANDAS is short for Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections. A child may be diagnosed with PANDAS when: Obsessive-compulsive disorder (OCD), tic disorder, or both suddenly appear following a streptococcal (strep) infection, such as strep throat or scarlet fever.

What presents similar to autism?

Examples include:
  • Avoidant personality disorder.
  • Obsessive compulsive disorder (OCD)
  • Reactive attachment disorder.
  • Social (pragmatic) communication disorder.
  • Schizophrenia, which rarely happens in children.


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.

Is PANDAS a neurological disorder?

Pediatric autoimmune neuropsychiatric disorders associated with Streptococcus infections (PANDAS) is a neurological and psychiatric condition in which symptoms are brought on or worsened by a Streptococcal (strep) infection. PANDAS is a subtype of pediatric acute-onset neuropsychiatric syndrome (PANS).


A Childhood Mystery: PANDAS and PANS Disorder



What does PANDAS do to your brain?

PANDAS/PANS causes inflammation in an area of the brain called the basal ganglia, which helps govern emotions and motor control. When the immune system creates antibodies to the strep infection, these antibodies mistakenly attack tissue in the basal ganglia as well.

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.

Can kids with PANDAS go to school?

Many PANDAS symptoms make it incredibly difficult for children to focus throughout the school day. It can also make sitting in a classroom uncomfortable. Anxiety, OCD, tics, irritability and other PANDAS symptoms can create difficulties when it comes to: Attendance (due to lack of sleep and fatigue)


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.

When do kids outgrow PANDAS?

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.

What is mistaken for autism?

There are other brain disorders that mimic autism symptoms, like ADHD and anxiety disorders, including selective mutism. Autism can be misdiagnosed as another disorder with some shared symptoms.


Can a child have signs of autism but not be autistic?

There are several conditions that resemble or have autism-like symptoms such as developmental delays, language disorders, motor impairments, attention-deficit, anxiety, brain injury, chromosomal abnormalities, and severe emotional and behavioral disturbance – just to name a few.

What is the new name for autism?

autism spectrum disorder (ASD) is the medical name for autism.

Are PANDAS brain damage?

If the severe symptoms do not stop and persist over many months, permanent cognitive damage can occur. PANDAS children may have moderate to dramatic improvement with antibiotics within one week of treatment, however, further interventions may be needed.


Is PANDAS a developmental disability?

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.

How long does PANDAS syndrome last?

In PANDAS children, a strep infection occurs before or at the time the OCD symptoms ramp up. Assuming the infection is adequately treated, the first symptoms generally improve within 4-6 weeks.

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 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.

How do I know if my child has PANDAS?

What Are the Symptoms of PANDAS and PANS?
  1. tics or jerky movements.
  2. anxiety, depression, or mood swings.
  3. acting aggressive or "hyper"
  4. using baby talk, acting clingy, or having new bedtime fears.
  5. sudden trouble with handwriting or other fine motor skills.
  6. new trouble with memory, reading, or math.
  7. new bedwetting, not sleeping.


Is PANDAS related to bipolar?

PANS/PANDAS is a condition where the immune system attacks the brain, causing inflammation and myriad symptoms mistaken for psychological conditions such as ADHD, OCD, and Bipolar Disorder. Unless treatment addresses the root cause of the inflammation, it can become a life-long condition.


How common is PANDAS in children?

(Pediatric Autoimmune Neuropsychiatric Disorder Associated with Streptococcal Infections). The National Institute of Mental Health brought awareness and recognition of PANS/PANDAS in the 90s, and today scientists estimate as many as 1 in 200 children may have PANS/PANDAS.

What are the signs of PANDAS?

Symptoms and Causes
  • Anxiety or depression.
  • Bedwetting.
  • Changes in mood or personality, especially sudden rage or irritability.
  • Difficulty sleeping.
  • Disinterest in food.
  • Fidgeting and symptoms similar to attention-deficit/hyperactivity disorder (ADHD).
  • Obsessive-compulsive disorder-like behavior.
  • Separation anxiety.


Can PANDAS cause psychosis?

Conclusions: Severe psychotic symptoms may be considered one among the other neuropsychiatric clinical manifestations presenting in individuals with PANDAS/PANS syndromes.


How do you treat PANDAS naturally?

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. Another way is through the gut-brain axis, or how digestive health and brain health can impact each other.

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.