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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Reason For Twitching Arms And Legs Of Child?

Hello, My daughter had a sudden onset of simple motor tics that seemed to be occurring more frequently. No vocal tics. Despite the urban folklore surrounding PANDAS and a very intelligent PMD trained at Harvard - fellowship at Boston Childrens...I advocated for an ASLO and d-naese be drawn. Both came back 3x normal levels. She had no recent strep throat...no other infections. We treated her empirically with a course of Amoxicillin. The upper arm tics seemed to decrease by 75% but she still has tics involving hands, arms, leg twitches and abd contractions that I have noticed when she is sleeping. Do you think the elevated titles were just a coincidence?
Thu, 20 Feb 2014
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Pediatrician,  's  Response
many thanks for your question. i would like to know if she had streptococcal infection in recent 6 months. also if any time in last 6 months she had joint pains or faint rashes...over body.
well her current symptoms ....are they like dancing movements or purposeful hand ringing whivh goes continuously or lip movements...which are more so in night during sleep....if yes then it point towards rheumatic activity whivh does show high aslo and dnase b.
kindly get a neurologist opinion for this and also to rule out other causes of such tics like epilepsy.
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Reason For Twitching Arms And Legs Of Child?

many thanks for your question. i would like to know if she had streptococcal infection in recent 6 months. also if any time in last 6 months she had joint pains or faint rashes...over body. well her current symptoms ....are they like dancing movements or purposeful hand ringing whivh goes continuously or lip movements...which are more so in night during sleep....if yes then it point towards rheumatic activity whivh does show high aslo and dnase b. kindly get a neurologist opinion for this and also to rule out other causes of such tics like epilepsy.