As a holistic & integrative pediatrician, I see many children with behavioral and psychological issues. A significant part of my evaluation for these patients includes a work up to see if there is the presence of PANDAS (Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections) or PANS (Pediatric Acute-onset Neuropsychiatric Syndrome).
PANDAS is a complex disorder that can occur suddenly and appears to be more common in boys. The symptoms can be behavioral and physical, and can be debilitating.
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