my response was to mommy bee who said, "...by definition, pandas is a pediatric illness." in either event, it is very important to clarify that a person can develop pandas in adulthood. imagine a 'normal' adult life with its relationships, family, responsibilities, and career being turned upside down when an adult develops pandas and begins thinking, feeling, and behaving like a sick and pained autistic toddler overnight. it is horrific. imagine the irreparable damage to your life when it takes six months, twenty doctors, and several emergency room visits to get a diagnosis. dr. amiram katz in orange, ct has extensive knowledge and experience with adult onset pandas. he is a brilliant and compassionate human being and doctor.