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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Pandas Syndrome In A Child

I have a 12 YEAR OLD son diagnosed with Pandas Syndrome approx. 4 years ago. Hew neurologist made this diagnosis. He has just recently healed from strep virus. A couple of ticks are now more prominent now. He takes Stratera and Ceterizine for his allergys. Any suggestions on treatment?
Mon, 22 Dec 2014
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General & Family Physician,  's  Response
Pandas syndrome(Pediatric acute onset neuropsychiatric disorder associated with streptococci) is a neorological disease in form of OCD or ADHD or choreiform disorder. Child is treated according to the behavioural pattern. If he shows more of OCD features, SSRI are the treament given. IF he has ADHD features, he is given Atomexitane. there is currently little role of antibiotics. Your child is getting Straterra(atomexitane) and cetrizine which is absolutely fine for his disorder. Experiments have suggested a good role of Plasmapheresis in such disease for removal of autoantibodies.
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Suggest Treatment For Pandas Syndrome In A Child

Pandas syndrome(Pediatric acute onset neuropsychiatric disorder associated with streptococci) is a neorological disease in form of OCD or ADHD or choreiform disorder. Child is treated according to the behavioural pattern. If he shows more of OCD features, SSRI are the treament given. IF he has ADHD features, he is given Atomexitane. there is currently little role of antibiotics. Your child is getting Straterra(atomexitane) and cetrizine which is absolutely fine for his disorder. Experiments have suggested a good role of Plasmapheresis in such disease for removal of autoantibodies.