This is my first post on this forum, although I have been following for years. I would appreciate some input/opinion/feedback as I am trying to determine what direction to go in helping my son.
A quick summary:
Feb 2013 we had severe and rapid onset of OCD, tics, behaviors, the whole typical "PANS" deal. We suspected an infection-triggered scenario, but were unable to find the right doc at the time. After some diet restrictions and time, my son made a full recovery by July 2013. He went to Kindergarten and stayed baseline for two years. Again, this Feb 2015 his symptoms resurfaced... tics, anxiety, the behaviors, etc.
Please consider these blood results (Done through Dr. Trifilleti) and help me determing if I a dealing with PANS here or if I should be taking a traditions TS route.
Found Dr. T after recovery from initial onset. Some blood work done on December 2013 during healthy time showed ASO= 10.1 and DNase-1; Myco was 1918.
Dr. T concluded that his symptoms were likely related to the "old" Mycoplasma infection titers found.
Fast-forward to second round of symptoms: March 2015 ASO= 170.6 and Anti-DNase B=518 Myco was still elevated, but coming down.
Are these strep numbers a big enough jump from the baseline blood work done Dec 2013 to cause a PANDAS flare? Am I dealing with infection-triggered symptoms here? I should mention that we didn't have any signs of a strep infection.
July 2015 showed ASO down to 128 and Anti D-Nase down to 404, but we are still symptomatic.
I have a consult with Dr. T tomorrow and I would appreciate any insight and advice on how to proceed- PANDAS route or accepting a TS/OCD Dx?!?
I am confused with all of it and all I want to do is help my little boy.
Thanks