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PANDAS/PANS

PANDAS (Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections) and PANS (Pediatric Acute-Onset Neuropsychiatric Syndrome) are conditions characterized by the sudden onset of obsessive-compulsive symptoms or tics, often following infections. IMI employs a comprehensive multimodal/multiorgan systemic approach that addresses the interactive and underlying and health imbalances and overall immunology to optimize patient health and manage symptoms effectively.

Symptoms can include tics, anxiety, neurological and movement abnormalities, behavioral regression, poor school performance, mood fluctuations, sleep disturbances, and more.

What is PANDAS/PANS?

PANDAS stand for “Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections.” PANDAS had five well defined criteria’s for diagnosis: including rapid onset of OCD, or obvious tics; a well observed and measured relapsing set of episodic symptoms usually at an early age (6-7), neurological abnormalities, shifts in symptoms patterns and Group A Strep (GAS) infections. These defined areas may also be accompanied by symptoms found in PANS.

PANS stands for “Pediatric Acute-Onset Neuropsychiatric Syndrome.” This is a clinically defined condition usually evident following a sudden onset of OCD (obsessive-compulsive symptoms) or a dramatic change in eating restrictions, along with a rapid behavioral decline in function in at least two defined areas. Comorbid symptoms of PANS may also include: anxiety, increase sensitivity, movement abnormalities, behavioral regression, poor school performance, mood fluctuations and poor bladder control along with sleep disturbance.

For Additional Reference see: pandasppn.org. Dr. Ruelas is listed as one of the national providers there.

Treatment for PANDAS/PANS

Initial treatment may follow specific protocol that are laid out after much research (please see pandasppn.org treatment flow sheet).

However, the treatment paradigms used by Dr. Ruelas follows a bidirectional multimodal multiorgan system of care. His approach (outlined in “Science “ February 2024 and “Science, Frontiers of Medical research: Brain Science,” June 2023) looks at a complete picture each patient to ensure an optimal a balance of health and increased immunology as possible.

Additionally, Dr. Ruelas is looking at foundational health to determine what may have been underlying deficiencies or imbalance that might have lead to increased symptomatology.

Frequently Asked Questions

  • The research is looking at this condition as overload to the system and thus and override the course of natural immunology and may prevent the immune system from running in any form of regulatory. It can then produce abnormal responses which then may attack it self. But is it not clear as of yet whether this is a classic autoimmune or autoinflammatory condition.

  • YES due to a number of factors. These could range from Laboratory error, to difficulty obtaining a good specimen or timing of collection.

    Consequently a good history and perhaps repeating laboratory studies may be of value.

Interested in PANDAS/PANS Treatment?

Our comprehensive, multimodal approach addresses the underlying health imbalances and overall immunology to optimize patient health and manage symptoms effectively.