PANDAS:二十五年后

IF 0.4 Q4 PEDIATRICS Adolescent Psychiatry Pub Date : 2024-03-20 DOI:10.2174/0122106766298492240320044542
Federico Cardelle-Pérez, María Ángeles Díaz-Caneja Greciano
{"title":"PANDAS:二十五年后","authors":"Federico Cardelle-Pérez, María Ángeles Díaz-Caneja Greciano","doi":"10.2174/0122106766298492240320044542","DOIUrl":null,"url":null,"abstract":"\n\nIt has been 25 years since the definition of the concept\nof Pediatric Autoimmune Neuropsychiatric Disorders Associated with\nStreptococcal Infections (PANDAS). The abrupt onset of neuropsychiatric\nsymptoms requires a comprehensive differential diagnosis involving\ncomplementary tests and optimal treatment selection.\n\n\n\nThis paper describes aspects related to the diagnosis and clinical\nmanagement of PANDAS. A clinical perspective is developed starting from an\nexample that meets the Swedo's criteria.\n\n\n\nA comprehensive approach, including interdisciplinary management\nand urgent evaluation of potential organic causes, is crucial for effective\ntreatment. Treatment decisions should consider severity, symptoms, and available\nevidence. Collaboration with neuropediatric or neurological services is needed.\nASLO/anti-DNase B and 25-OH-Vitamin D tests are valuable for atypical\nOCD/Tic presentations, always maintaining a broader organic screening.\n","PeriodicalId":43326,"journal":{"name":"Adolescent Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.4000,"publicationDate":"2024-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"PANDAS: Twenty-Five Years Later\",\"authors\":\"Federico Cardelle-Pérez, María Ángeles Díaz-Caneja Greciano\",\"doi\":\"10.2174/0122106766298492240320044542\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"\\n\\nIt has been 25 years since the definition of the concept\\nof Pediatric Autoimmune Neuropsychiatric Disorders Associated with\\nStreptococcal Infections (PANDAS). The abrupt onset of neuropsychiatric\\nsymptoms requires a comprehensive differential diagnosis involving\\ncomplementary tests and optimal treatment selection.\\n\\n\\n\\nThis paper describes aspects related to the diagnosis and clinical\\nmanagement of PANDAS. A clinical perspective is developed starting from an\\nexample that meets the Swedo's criteria.\\n\\n\\n\\nA comprehensive approach, including interdisciplinary management\\nand urgent evaluation of potential organic causes, is crucial for effective\\ntreatment. Treatment decisions should consider severity, symptoms, and available\\nevidence. Collaboration with neuropediatric or neurological services is needed.\\nASLO/anti-DNase B and 25-OH-Vitamin D tests are valuable for atypical\\nOCD/Tic presentations, always maintaining a broader organic screening.\\n\",\"PeriodicalId\":43326,\"journal\":{\"name\":\"Adolescent Psychiatry\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.4000,\"publicationDate\":\"2024-03-20\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Adolescent Psychiatry\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.2174/0122106766298492240320044542\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"PEDIATRICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Adolescent Psychiatry","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.2174/0122106766298492240320044542","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PEDIATRICS","Score":null,"Total":0}
引用次数: 0

摘要

自链球菌感染相关小儿自身免疫性神经精神障碍(PANDAS)这一概念确定以来,已有25年的历史。神经精神症状的突然出现需要进行全面的鉴别诊断,包括辅助检查和最佳治疗选择。本文从符合瑞典标准的病例出发,阐述了临床观点。综合方法,包括跨学科管理和对潜在器质性病因的紧急评估,对于有效治疗至关重要。治疗决定应考虑严重程度、症状和现有证据。ASLO/抗-DNase B和25-OH-维生素D检测对非典型OCD/Tic表现很有价值,但应始终坚持进行更广泛的器质性筛查。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
PANDAS: Twenty-Five Years Later
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.
求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Adolescent Psychiatry
Adolescent Psychiatry PEDIATRICS-
CiteScore
0.80
自引率
0.00%
发文量
20
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.
期刊最新文献
Adolescent Substance Use, and Related Emergency Room Visits, and Continuum of Care Psychosomatic Problems Among Adolescents During/Post the COVID-19 Pandemic: A Systematic Review Factors Associated with Posttraumatic Stress Disorder in Adolescents Experiencing Earthquake Trauma The Role of Identity in the Relationship between PTSD and Executive Functioning Review of Clinical Considerations in the Management of Adolescents with ADHD During Ramadan
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1