Federico Cardelle-Pérez, María Ángeles Díaz-Caneja Greciano
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引用次数: 0
Abstract
It has been 25 years since the definition of the concept
of Pediatric Autoimmune Neuropsychiatric Disorders Associated with
Streptococcal Infections (PANDAS). The abrupt onset of neuropsychiatric
symptoms requires a comprehensive differential diagnosis involving
complementary tests and optimal treatment selection.
This paper describes aspects related to the diagnosis and clinical
management of PANDAS. A clinical perspective is developed starting from an
example that meets the Swedo's criteria.
A comprehensive approach, including interdisciplinary management
and urgent evaluation of potential organic causes, is crucial for effective
treatment. Treatment decisions should consider severity, symptoms, and available
evidence. Collaboration with neuropediatric or neurological services is needed.
ASLO/anti-DNase B and 25-OH-Vitamin D tests are valuable for atypical
OCD/Tic presentations, always maintaining a broader organic screening.
期刊介绍：
Adolescent Psychiatry a peer-reviewed journal, aims to provide mental health professionals who work with adolescents with current information relevant to the diagnosis and treatment of psychiatric disorders in adolescents. Adolescent Psychiatry reports of original research, critical reviews of topics relevant to practitioners, clinical observations with analysis and discussion, analysis of philosophical, ethical or social aspects of the fields of psychiatry and mental health, case reports with discussions, letters, and position papers. Topics include adolescent development and developmental psychopathology, psychotherapy and other psychosocial treatment approaches, psychopharmacology, and service settings and programs. The primary focus of the work should be on adolescents, transition-aged youth, The primary focus of the work should be on adolescents, transition-aged youth, or emerging adults, that is, persons 12-24 years of age . Articles on families of adolescents, or adults who have been followed since adolescence will also be considered.
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