Report A curious lab finding in PANS / PANDAS (Lyme included) Posted February 19, 2010 Hi Dr T, I have an 11 year old son originally diagnosed with Tourette's Syndrome when he was 7. He had a sever strep infection last spring with a return of all the PANDAS symptoms that we have been told for years were a comorbid condition that went with TS. Thankfully, he was diagnosed last fall with PANDAS and began Augmetnin 875 mg 2x/day. We have seen slow steady progress but still have a ways to go. He had blood work in Aug before the antibiotics. Here are the results: Lyme, Western Blot, Serum Lyme Ab IgG by WB IgG P 93 Ab - Absent IgG P66 Ab - Present - Abnormal IgG P58 Ab - Absent IgG P45 Ab - Present - Abnormal IgG P41 Ab - Present - Abnormal IgG P39 Ab - Absent IgG P30 Ab - Absent IgG P28 Ab - Present - Abnormal IgG P 23 Ab - Absent IgG P18 Ab - Absent Lyme IgG WB Interp - Negative Positive: 5 of the following Borrelia-specific bands: 18,23,28,30,39,41,45,58,66 and 93 Negative: No bands or banding patterns which do not meet positive criteria Lyme Ab IgM by WB: IgM P41 Ab- Present -abnomral IgM p 39 Ab- Absent IgM P23 Ab- Absent Lyme IgM WB Interp. - Negative Positive 2 of the following abnds 23,39,41 Antistreptolysin O Ab - 463.3 Anti-DNase B strep Antibodies 1:680 Medical history includes: chronic strep, tonsillectomy, adneoidectomy, reflux, frequent pink eye, chronic croup, frequent complaints of stomach pain Thank you for your posts!