Fw: Ask Dr Geller-Pandas Question

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Sent: Tuesday, December 2, 2008 8:01:20 AM

Subject: Dr Geller-Pandas Question

Hi Dr.Geller.

I was hoping you could help me to clear up some of my confusion on PANDAS.

My son started in with a severe onset of " bad thoughts " at age 4.11.I can

pinpoint the exact day and time, it was so sudden. He was in a constant state of

panic, and just continued spilling out his " bad thoughts " . I took him to a

psychiatrist and they diagnosed him with OCD, and put him on Prozac.

He had his tonsils out 3 months prior to this onset, and had strep throat, 3

weeks before the onset.

My son is now 7, and whenever he is on antibiotics for any reason, his OCD

symptoms improve. He is on Abilify(5mg) and Luvox(12.5mg)

I metnioned all of this to his psychiatrist, who agreed that this all sounded

like PANDAS, and he had his titers checked. They came back normal. They were

checked during a time he did not have strep. Therfore the doctor said he

couldn't have PANDAS because the titers would be constantly elevated.

Through research I have done, I have found this is not always the case.

Could you verify this for me?

Thank you for your time

Judy Chabot