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PANDAS: a new disease?
Sheila Knupp Feitosa de Oliveira1
1Faculdade de Medicina, Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brazil. sheila_knupp@hotmail.com
Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal infection (PANDAS) criteria are debated, but tics and OCD symptoms following strep infections suggest an autoimmune link. Further research is needed to confirm PANDAS.
Area of Science:
- Pediatric Neurology
- Infectious Diseases
- Autoimmune Disorders
Background:
- Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal infection (PANDAS) is a controversial pediatric condition.
- It is characterized by tics and obsessive-compulsive symptoms that emerge after streptococcal infections, potentially via autoimmune mechanisms.
Purpose of the Study:
- To establish diagnostic criteria for PANDAS.
- To analyze existing evidence on PANDAS etiopathogenesis, treatment, and prophylaxis.
Main Methods:
- A literature review was conducted using MEDLINE.
- The search covered scientific literature published between 1989 and 2006.
Main Results:
- Diagnostic criteria for PANDAS were established but remain controversial.
- Key symptoms include tics and obsessive-compulsive disorders post-streptococcal infection, distinct from rheumatic chorea.
- Antimicrobial and immunologic therapies show potential feasibility.
Conclusions:
- Further research is essential to resolve PANDAS diagnostic questions.
- Clinicians should consider PANDAS in children with tic and obsessive-compulsive disorders, looking for evidence of prior streptococcal infection.
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