For those that have been battling this for a while I was hoping for some insight on what we might expect in the coming months/years. My DD9 is 3 1/2 months post IVIg and is doing quite well. We are new to PANDAS having had her first identifiable episode 5 months ago. We are currently on prophylactic Azithromycin. What I am wondering is whether or not the kids flare with every illness, how severe the flares are, and the normal duration? Obviously we hope that we never see another one, but are trying to be realistic and have an idea of what to expect.