IVIG and "Steroid Burst"

[Mike]

I cam across a site I had not seen before with some interesting PANDAS info and case studies.

 

http://webpediatrics.com/pandas.html

 

 

Now myson fits all criteria but has never had a steroid burst. What is this and who would give it? Anyone ever have this done? They have great things to say about IVIG, but how invasive is this?

 

 

 

PANDAS diagnostic criteria

(1) Current or past presence of symptoms (DSM IV) of Obsessive Compulsive Disorder, Tic Disorder (including Tourette's), Autism or Autistic Spectrum Disorder, and Anorexia Nervosa*.

(2) Symptom onset between 18 months of age and puberty.

(3) Episodic course of symptom severity characterized by the abrupt onset of symptoms and/or frequent, dramatic symptom exacerbation.

(4) Symptom exacerbation associated with beta-haemolytic streptococcal infection.

(5) Presence of abnormal Neuropsychiatric examination, including motor hyperactivity, adventitious movements, tics, etc.

(6) Measurable clinical improvement following "Steroid Burst".