Report ASOT results normal does that rule out PANDAS? in PANS / PANDAS (Lyme included) Posted November 18, 2014 My daughter sees a PANDAS specialist. She has actually very low ASOs and Anti-dnase even in the middle of a 60 day bout of confirmed strep. Her immuno tested her IGG, IGA, IGE, and IGM and found she is deficient in two areas and he says that expains her low titers. Her body is not responding to infection like it should. The titers are nice to have, but they are not the everything when it comes to this disorder. You will likely have to see a specialist in PANDAS to receive proper diagnosis, treatment and tests for other co-infections. My signature shows the other infections my kiddo struggled with.