Doctor insights on:
No.: Pandas is an acronym which stands for pediatric autoimmune neuropsychiatric disease associated with streptococcal disease. No. By definition, pandas is a pediatric disorder. It is possible that adolescents and adults may have immune mediated ocd, but this is not known. The research studies at the nimh are restricted to children. ...Read more
Yes: Pandas is a relatively rare disorder thought to occur after a strep infection in young children who, after a bout of strep, may suddenly develop obsessive-compulsive behaviors and motor and/or vocal tics. The symptoms tend to wax and wane, worsening if the child has another bout of strep. Best treatment remains unclear. ...Read more
Not a bad idea: I have not recommended this in the past, however recovery time may improve dramatically if the diagnosis is recognized quickly and appropriate treatment initiated early. Early appropriate testing for common infectious agents (staph, mycoplasma etc) may also help to guide treatment. Helpful information/support can be found on pandasnetwork. Org. Good luck! ...Read more
Yes: The treatment depends on what phase of the illness the child is in. If the illness is still in the fairly acute stage, treatment consists of about one month of antibiotics that provide strep coverage, usually Amoxicillin or penicillin. If the condition is already into the long term phase (symptoms present months to years), antibiotics but also likely much more other treatments will be needed. ...Read more
See below and link: The hallmark trait for pandas is sudden acute and debilitating onset of intense anxiety and mood lability accompanied by obsessive compulsive-like issues and/or tics in association with a streptococcal-a (gabhs) infection that has occurred immediately prior to the symptoms. In addition to the link from dr. Avashi, I would recommend http://pandasnetwork. Org. ...Read more
Yes and no: Panda's are a puzzeling diagnostic lable. I have and will treat any significant acute or subacte rise in anti--strep antibody with antibiotics, as a reflection of years when I saw rheumatic fever. One 12yo I rxd resolved OCD behavior in the process. The chronic use of abx has lost faver over the years. My 12yo rcd daily pcn for years but developed psyc pbs in late adolescence. No concensus on this. ...Read more
3mo. Old: You should not give your baby any medication that has not been approved of by your pediatrician ...Read more
How do you know when the pandas is severe? Does depend on the onset of symptoms of the steep and titer levels?
Sweetie, can you ask: Your mom to submit the questiin? We can't answer questions from those younger than 16. I'm sorry. ...Read more
Strawberry: Flavoring. The only way to know if the favoring is fattening or otherwise harmful is to know the ingredients. Please look on the label. It may be loaded w/high fructose corn syrup, which is fattening and bad for blood sugar. There may also be chemicals in it. You are far better off eating real fruit. Peace and good health. ...Read more
Uncertain: The nih does not recommend tonsillectomy for treatment of pandas; there is no clear evidence from clinical trials that it helps. On the other hand, there are many, many reports on sites like pandas foundation that tonsillectomy was the cure for their children. In my practice, I have seen some remarkable improvements following tonsillectomy, but again, these are "anecdotal". Ask your doc. ...Read more
Yes w/ mixed results: The key factor in pandas treatment is to realize it is a post-infectious autoimmune d/o that attacks the brain. It is the immune response to strep (or other infectious agents) that activate the immune system and leads to symptoms. Pcn may prevent infection and immune activation; however, that may not be enough. In recurrence, look for carriers in the home or classroom. Http://pandasnetwork. Org. ...Read more
Is anyone very familiar w panda? Friends son has had undiagnised strep for some time and had tics 3 months ago and now they are back w vocal&blink.?
MDs treating PANDAS: Yes - I have been successful in treating cases of pandas using antibiotics, steroids, supplements and even ivig - but a thorough medical history and exam is essential before any treatment regimen is started to make sure that this is truly pandas. A list of treating mds, by state, can be found at pandasnetwork. Org. ...Read more
My 7 yr postive again for strep and I'm leaning towards pandas. I was prescribed clindamycin 75 mg?
B carefull: Clinda has serios complications, and should b follwe by a pharmicokinetics program 2 b sure dose and blood levels do not exceed limits 4 age & size. ...Read more
I suspect my son has pandas. Is it harmful to give him yoghurt with streptococcus thermophilus added to it?
Probably ok...: I would agree with dr. Lurie. At this time, it appears to only be related to a certain type of strep, group a beta hemolytic streptococcus (gabhs). The link with other types of strep has not yet been made, but if a concern and looking for a good probiotic for children, I would recommend lactobacillus gg as more than 400 studies to date have proven its efficacy and safety. Hope this helps! ...Read more
No verdict: This is not a slam dunk decision. There may be something to it but the final word is not yet in. There is ongoing research in this area. The treatments you mention can be risky, especially for a child. Also in many cases symptoms of pandas improve spontaneously with the passage of time. For more information try this nih link: http://intramural. Nimh. Nih. Gov/pdn/web. Htm. ...Read more
My son recently diagnosed with pandas with strep titers over 400. Daughter has selective iga. Should I have immune workup done for him?
Yes: You need to go to a referral center, depending where you are located in the us. ...Read more
Could I have wilsons? I've noticed kf rings in my eyes & lookin at my MRI I found the panda cub clearly & I have majority of the nureo symps
Good news, bad news: The bad news, you have a condition that if not treated will cause problems. Good news, there is treatment. Talk with a neurologist for treatment details. ...Read more
My pandas son is extremely hyperactive and very very argumentative. He take augmentation and. 50 me of clonidine, is anything I can give him to help?
Panda: Perhaps you should have him evaluated by a psychotherapist or psychiatrist for adhd and his argumentative attitude. ...Read more
Anatomic: Its an area of the midbrain that on MRI that looks like the face of a giant panda. Frankly, I don't see it. But I can't see those pictures that have hidden objects in them either. It has uncertain clinical significance. Talk to your doctor about what it may mean in your situation. ...Read more
I was diagnosed with tourettes at 11. I just read up on pandas... Could I have gotten this from weekly strep infections resulting in tonsil removal?
Did your OCD & tics: Appear suddenly at age 11 with a strep infection & diminish in severity when you received antibiotics? See http://intramural. Nimh. Nih. Gov/pdn/web. Htm for details. I heard dr. Swedo from nimh present this in the 90's, but I've not seen translational research - i.e., genetic set-up for ts with streptococcal infection as a trigger for symptoms. ...Read more
My 7 yr postive again for strep and I'm leaning towards pandas. I was prescribed clindamycin 75 mg/5ml. Is this the right antibiotic? He did augm b4.
My 11 yo, who has a Dx of PANDAS, has been battling a strep infection. He's completed a ten day course of Amoxicillin and is currently on day 9 of pen?
The NIH has important information which can be found online describing PANDAS. The Strep infection leads to an antibody reaction associated with symptoms of PANDAS. The antibiotic is treating the infection, but is not used to treat PANDAS directly.
It is important to complete the course of antibiotics as prescribed. A virtual inbox consultation can be booked online so that you may upload labs ...Read more
What metabolic issues can cause my 10yr old to Tic and have sudden onset sleepiness? He was diagnosed with PANDAS in February??
Is it normal that juvederm gives you blue eye bags? I look like a panda bear now. And eyes look smaller too. Is it due to overfilling eye troughs? I
My doctor recently told me that he thinks I have PANDAS. I did have strep back in July and since then I've had OCD symptoms and tourette like symtoms?
My daughter had encephalitis. Cause for this is group a streptococcus. Aso test showed 908 lu/ml. Whether it could be pandas syndrome?
PANDAS syndrome: This rare pediatric condition producing neuropsychiatric symptoms in association with group a beta-strep infections has been well described, except that causality does not seem to have been proven. Whether your daughter's encephalitis was due to gabs infection is questionable, but a good pediatric infectious diseases expert may help explain this for you. Complex. Hope she is better soon. ...Read more
My eight year old son was fine. One month ago, he gotsevere ocd. One doctor said "pandas" and gave something called an ivig. Other doctor said, "no such thing." what should I do?
I look like a panda, white around my eyes and also my hands have gone a different colour looks tanned in one bit and even my penis has changed color?
Color Change: This can happen with fungal infections, although I have not seen one this generalized. Time to go see a Dermatologist. ...Read more