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The Pediatric Autoimmune Neuropsychiatric Disorders Associated With Streptococcal Infection (PANDAS) Etiology for Tics and Obsessive-Compulsive Symptoms: Hypothesis or Entity? Practical Considerations for the Clinician

Kurlan, Roger, Kaplan, Edward L.·2004·Pediatrics

Abstract

Clinicians have been faced with much publicity and contradictory scientific evidence regarding a recently described condition termed pediatric autoimmune neuropsychiatric disorders associated with streptococcal infection (PANDAS). It has been proposed that children with PANDAS experience tics, obsessive-compulsive behavior, and perhaps other neuropsychiatric symptoms as an autoimmune response to streptococcal infection. We review current scientific information and conclude that PANDAS remains a yet-unproven hypothesis. Until more definitive scientific proof is forthcoming, there seems to be insufficient evidence to support 1) routine microbiologic or serologic testing for group A streptococcus in children who present with neuropsychiatric symptoms or 2) the clinical use of antibiotic or immune-modifying therapies in such patients. The optimum diagnostic and therapeutic approach awaits the results of additional research studies.

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Research works printed but not linked: 26

  1. Swedo SE, Leonard HL, Garvey M, et al. Pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections: clinical description of the first 50 cases. Am J Psychiatry.1998;155:264–271 · DOI · Paper page
  2. Husby G, van de Rijn I, Zabriskie JB, Abdin ZH, Williams RC. Antibodies reacting with cytoplasm of subthalamic and caudate nuclei neurons in chorea and acute rheumatic fever. J Exp Med.1976;144:1094–1110 · DOI · Paper page
  3. Bronze MS, Dale JB. Epitopes of streptococcal M proteins that evoke antibodies that cross-react with human brain. J Immunol.1993;151:2820–2828 · DOI · Paper page
  4. Mercadante MT, Campos MC, Marques-Dias MJ, Miguel EC, Leckman J. Vocal tics in Sydenham’s chorea. J Am Acad Child Adolesc Psychiatry.1997;36:305–306 · DOI
  5. Swedo SE, Leonard HL, Schapiro MB, et al. Sydenham’s chorea: physical and psychological symptoms of St Vitus dance. Pediatrics.1993;91:706–713
  6. DiFazio MP, Morales J, Davis R. Acute myoclonus secondary to group A beta-hemolytic streptococcus infection: a PANDAS variant. J Child Neurol.1998;13:516–518 · DOI
  7. Dale RC, Church AJ, Benton S, et al. Post-streptococcal autoimmune dystonia with isolated bilateral striatal necrosis. Dev Med Child Neurol.2002;44:485–489 · DOI
  8. Dale RC, Church AJ, Surtees RA, Thompson EJ, Giovannoni G, Neville BG. Post-streptococcal autoimmune neuropsychiatric disease presenting as paroxysmal dystonic choreoathetosis. Mov Disorder.2002;17:817–820 · doi:10.1002/mds.10169
  9. Dale RC, Church AJ, Cardoso F, et al. Poststreptococcal acute disseminated encephalomyelitis with basal ganglia involvement and auto-reactive antibasal ganglia antibodies. Ann Neurol.2001;50:588–595 · DOI · Paper page
  10. Sokol MS. Infection-triggered anorexia nervosa in children: clinical description of four cases. J Child Adolesc Psychopharmacol.2000;10:133–145 · DOI
  11. Kurlan R. Tourette’s syndrome and “PANDAS”: will the relation bear out?Neurology.1998;50:1530–1534 · DOI
  12. Kaplan EL. PANDAS? or PAND? Or Both? Or Neither? Assessing a possible temporal or pathogenetic relationship with the group A “streptococcal diseases complex.” Contemp Pediatr.2000;8:81–96
  13. Singer HS, Loiselle C. PANDAS. A commentary. J Psychosom Res.2002;1:1–9
  14. Bodner SM, Morshed SA, Peterson BS. The question of PANDAS in adults. Biol Psychiatry.2001;49:807–810 · DOI
  15. Singer HS, Walkup JT. Tourette syndrome and other tic disorders. Medicine.1991;70:15–32 · DOI · Paper page
  16. Singer HS, Giuliano JD, Zimmerman AM, Walkup JT. Infection: a stimulus for tic disorders. Pediatr Neurol.2000;22:380–383 · DOI · Paper page
  17. Kaplan EL, Top F Jr, Dudding BA, Wannamaker LW. Diagnosis of streptococcal pharyngitis: differentiation of active infection from the carrier state in the symptomatic child. J Infect Dis.1971;123:490–501 · DOI · Paper page
  18. Ayoub EM, Hoyer J. Anaphylactoid purpura: streptococcal antibody titers and β 1c-globulin levels. J Pediatr.1969;75:193 · doi:10.1016/s0022-3476(69)80389-6
  19. Shet A, Kaplan EL. The clinical use and interpretation of group A streptococcal antibody tests: a practical approach for the pediatrician or primary care physician. Pediatr Infect Dis J.2002;21:420–426 · DOI
  20. Giedd JN, Rapoport JL, Garvey MA, Perlmutter S, Swedo SE. MRI assessment of children with obsessive-compulsive disorder or tics associated with streptococcal infection. Am J Psychiatry.2000;157:281–283 · DOI · Paper page
  21. Kurlan R. Gilles de la Tourette’s syndrome. In: Rakel RE, Bope ET, eds. Conn’s Current Therapy, 2001. Philadelphia, PA: WB Saunders; 2001: 931–935
  22. Garvey MA, Perlmutter SJ, Allen AJ, et al. A pilot study of penicillin prophylaxis for neuropsychiatric exacerbations triggered by streptococcal infections. Biol Psychiatry.1999;45:1564–1571 · DOI · Paper page
  23. Murphy ML, Pichichero ME. Prospective identification and treatment of children with pediatric autoimmune neuropsychiatric disorder associated with group A streptococcal infection (PANDAS). Arch Pediatr Adolesc Med.2002;156:356–361 · DOI · Paper page
  24. Nausieda PA, Grossman BJ, Koller WC, et al. Sydenham chorea: an update. Neurology.1980;30:331–334 · DOI
  25. Singer HS. PANDAS and immunomodulatory therapy. Lancet.1999;354:1137–1138 · DOI
  26. Weizman A, Weizman R, Szekely GA, Wijsenbeek H, Livni E. Abnormal immune response to brain tissue antigen in the syndrome of autism. Am J Psychiatry.1982;139:1462–1465 · DOI

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Metadata

Authors
Kurlan, R., & Kaplan, E. L.
Venue
Pediatrics
Published
2004-04-01
Volume
113
Issue
4
Pages
883-886
ISSN
  • 0031-4005 (ISSN-L)
  • 1098-4275
OpenAlex
W2038448100
Cited by
161
References
4
FWCI
15.74
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: The Pediatric Autoimmune Neuropsychiatric Disorders Associated With Streptococcal Infection (PANDAS) Etiology for Tics and Obsessive-Compulsive Symptoms: Hypothesis or Entity? Practical Considerations for the Clinician. https://app.cochat.ai/papers/10.1542/peds.113.4.883
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Kurlan, R., & Kaplan, E. L. (2004). The Pediatric Autoimmune Neuropsychiatric Disorders Associated With Streptococcal Infection (PANDAS) Etiology for Tics and Obsessive-Compulsive Symptoms: Hypothesis or Entity? Practical Considerations for the Clinician. Pediatrics. https://doi.org/10.1542/peds.113.4.883

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