Debbie,
Have you looked into Sydenham's Chorea? There are both heart-related symptoms and the skin bumps as part of that condition (and it is very PANDAS-like). Here is a link to a Sydenham's symptom article: http://www.mdvu.org/library/disease/sydenhams/syd_sym.asp Just a thought.
I'm brand new here....and just when I thought I could breathe a sigh of relief, I'm reading your posts and worried all over again. My daughter started with the eye blinking and occasional facial tics in January 09, then full blown tics and chorea with 2nd diagnosed strep in June. 3rd strep in August and got her tonsils out in Sept. Facial tics all but gone, but still the arm/leg movements, which seem to have gotten worse over the last 2 weeks. And she has on occasion, tho I haven't kept track of it, complained of a racing heart. She had a terribly high fever for about 36 hours on 11/1-2 (104.5), tested neg for strep and flu, so given Zithromax for a presumed sinus infection. 3 days later, tested positive for Type A Flu and took the Tamiflu. Unfortunately pediatrician won't order the Titers as neurologist won't acknowledge PANDAS. Husband is reluctantly on board with the whole PANDAS concept, but refuses to let me get the CamKinaise done, and completely balks at steroids/prophylactic antibiotics. Now I am terrified about the heart racing and don't know what to do if/when it happens again. We are unemployed, just switched insurance and facing huge deductible to start the whole new round of tests....if the Sydenham's Chorea is a different diagnosis than PANDAS, how and when should I try to get that checked out? Oh, and yes, she has bumps, too-mostly around her mouth. Both times, the doc just called it impetigo and says the antibiotics will take care of it. she has also been diagnosed with keritosis pilaris by the dermatologist for the bumps on her arms - which I have also, and they say is incredibly common....