PANDAS/PANS: Identifying Mimickers, Triggers, and Exacerbators

All healing journeys start with an accurate diagnosis.

With PANDAS/PANS, identifying initial and ongoing mimickers, triggers, and exacerbating causes is essential to guide treatment.

These are the most common tests Dr. Adame checks to identify mimickers, triggers, and exacerbators:

• Allergy Blood Testing

• Most common Environmental/Respiratory Allergy Panel for your region including Mold

• Most Common Food Allergy Panel

• Celiac Testing

• Genetic Variants

• MTHFR

• Homocysteine

• Baylor Genetics Whole Genome Sequencing

• FRAT Testing (Dr. Adame also offers the option to start leucovorin without testing)

• Thyroid Hormone

• Autoimmune

• Rheumatoid Factor

• ANA

• c-Reactive Protein

• Erythrocyte Sedimentation Rate

• Immune Deficiency

• Immunoglobulins IgG, IgA, IgM, IgE

• IgG Subclasses 1-4

If any of these abnormalities are identified, Dr. Adame offers personalized guide for pharmaceutical and non-pharmaceutical treatment and support.

As always, algorithms and protocols are starting points. Dr. Adame and her team meet patients and their families where they are in their journey, whether the child's symptoms started just weeks earlier or they have already received the entire PANDAS protocol including IVIG. She will adjust the diagnostic strategy depending on previous work up completed, history, and treatment goals.

Dr. Adame believes in shared decision-making with families.

Are you ready to join the Culver Peds PANDAS/PANS Clinic? The first step is to register for a group info session to determine if we are the right practice for your child.

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