Hi there,
I'm new here, and would like some input into my dd's history; I'm wondering whether it's worth pursuing a PANDAS diagnosis, and whether there's enough "evidence" that points to PANDAS.
In a nutshell:
Dd is 15 and a sophomore in high school.
In winter of 2nd grade, she had a routine head cold/sore throat virus. Soon after, she developed cold urticaria. (Hives brought on by cold air.) Ped. said it was just a strange autoimmune reaction to the cold virus, and was most likely transient. It was. But our previously happy, bright, normally-developing daughter developed anxiety and trichotillomania (hair pulling.) She said she was anxious in school when kids were behaving badly and not listening to the teacher. In an effort to curb the anxiety and the trich, we pulled her out to homeschool her, with the plan that she'd return school for high school in our small, semi-private high school. The anxiety and trich stopped completely.
In her 8th grade year, the hives came back following a sore throat and cold virus. They would come and go, and we saw an allergist. Full battery of allergy testing revealed no allergies or sensitivities whatsoever, so the dr. did some sort of blood test (I don't have the name of it here.....) to test for an autoimmune issue. It came back positive for some sort of antibodies (again, no access to the report here at work) and the hives seemed to resolve over time.
The next year was last year, 9th grade. Dd was a freshman in high school and was doing well- happy, no anxiety, successful. Over Christmas break of that year, she had mycoplasmic pneumonia. Hot on heels of that, her anxiety and trich came back with a vengeance. We've been battling them ever since. Celexa helped with the anxiety for a while, but now she's up to 40 mg. and it's not seeming to be very effective. Her trich is pretty out of control, and in looking at list of PANDAS symptoms, she's got the following:
Tics or other abnormal movements YES: TRICH, AND A HOARSE, DRY COUGH THAT SEEMS TO HAVE NO CAUSE AND/OR RESPONSE TO TREATMENT
Severe separation anxiety, Generalized anxiety YES: SEPARATION ANXIETY FROM HER FATHER AND I, AND GENERAL ANXIETY.
Irritability, Emotional lability, Aggression, Personality Changes YES, STRESSED AND ANXIOUS, PRONE TO CRYING
ADHD, Inability to concentrate YES-- INABILITY TO FOCUS IN SCHOOL, ON HOMEWORK. NO HISTORY OF ADHD OR SCHOOL/LEARNING DISABILITIES
Sensory sensitivities YES: LOUD NOISES. EASILY STARTLED.
Deterioration in learning abilities and school performance YES-- GRADES HAVE TANKED. LOTS OF TEST ANXIETY.
Developmental and age regression (inc. Deterioration in handwriting) YES: HANDWRITING HAS GOTTEN TERRIBLE, BUT IT HASN'T BEEN A BATTLE I'VE CHOSEN TO PICK. HAD NO IDEA IT COULD BE A SYMPTOM UNTIL FINDING PANDAS.
Sleep and night time difficulties YES: TROUBLE FALLING ASLEEP.
Urinary Frequency or Daytime or night-time secondary enuresis NO.
If you've read this far, I thank you. I'm wondering if I should push my ped. or go back to the rheumatologist/allergist. I did bring the subject up over the phone with our ped. whose exact words were, "I'm not even going to have that conversation." HUH?
So anyway, I'd love a yea/nay opinion on whether to push.
Thanks tons,
astrid