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Help with testing for pandas please



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amother
OP


 

Post Tue, Oct 26 2021, 11:11 am
Visiting my pediatrician soon and I want to rule out pandas in my daughter.

I dont know how well versed she is with pandas but she's very accommodating and understanding bh.

What specifically should I request to test for? I've heard terms like titers, IGG being thrown around but I don't know much.

Can anyone please tell me what we should be looking out for when testing her? What is the criteria to diagnose pandas? Thanks!
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amother
Cinnamon


 

Post Tue, Oct 26 2021, 11:08 pm
Criteria for diagnosing is purely clinical — based on symptoms only. Here is a diagnostic flowchart https://www.pandasppn.org/flowchart/
Diagnostic criteria https://www.pandasppn.org/pandas/

Bloodwork can provide clues. Most basic is ASO, antidnase b. Those are strep titers and will tell you if the body recently fought or was exposed to strep. It may also indicate a chronic strep infection

Other infections to test for that can also cause the same symptoms. Ask for igg and igm for each.
Mycoplasma
Coxsackie a and b
Ebv
Cmv
H1n1
Candida
Lyme (western blot)

In addition it may be helpful to look at
Thyroid: tsh, t3, t4, reverse t3, thyroid antibodies
B12
Folate
Mthfr
Homocysteine
Methylmalonic acid
Cbc
Cmp
Ana
Crp
Rheumatic factors
Immune complexes
Food allergies ige
Environmental allergies ige
Total igm, igg, ige
Red blood cell magnesium
Cortisol
A1c
Celiac panel
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