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http://online.liebertpub.com/doi/pdf/10.1089/cap.2014.0063 here's the abstract, you can read the full-text by clicking the link above Abstract Objective: Sudden onset clinically significant eating restrictions are a defining feature of the clinical presentation of some of the cases of pediatric acute-onset neuropsychiatric syndrome (PANS). Restrictions in food intake are typically fueled by contamination fears; fears of choking, vomiting, or swallowing; and/or sensory issues, such as texture, taste, or olfactory concerns. However, body image distortions may also be present. We investigate the clinical presentation of PANS disordered eating and compare it with that of other eating disorders. Methods: We describe 29 patients who met diagnostic criteria for PANS. Most also exhibited evidence that the symptoms might be sequelae of infections with Group A streptococcal bacteria (the pediatric autoimmune neuropsychiatric disorder associated with streptococcal infections [PANDAS] subgroup of PANS). Results: The clinical presentations are remarkable for a male predominance (2:1 M:F), young age of the affected children (mean = 9 years; range 5–12 years), acuity of symptom onset, and comorbid neuropsychiatric symptoms. Conclusions: The food refusal associated with PANS is compared with symptoms listed for the new Diagnostic and Statistical Manual of Mental Disorders, 5th ed. (DSM-V) diagnosis of avoidant/restrictive food intake disorder (ARFID). Treatment implications are discussed, as well as directions for further research.
I don't have a doctor treating me right now and am getting drastically sicker by the month. I can't hardly sleep at all even taking tons of downers but I am severely fatigued, mostly in my brain with chronic migraines. Anyways here are some things I noticed going through recent labs (within the past year): Elevated DNase (224) but normal ASO. High titers to all: Coxsackie A and B (valtrex did nothing to improve that) high titers to Myco. Pneumonia (doctor never addressed this) high titers to parvo IgG4 - low IgA2 - low Basophils - absent IgG p41 - present (western blot) IgM P39 - present (western blot) Very low NK cell count Low B cells Low NK cell activity / functioning B12 - too high (surprising) There's a lot going on with my cytokines but I cannot decipher any of that. My psych. is referring me to a neurologist who knows about neuro-inflammation so it's just me waiting to see if I am accepted. Also, right now my throat is extremely soar all the time and my mom checked my tonsils and said they were extremely huge and inflamed. Any thoughts on the labs? Thanks.