PANDAS

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2Active trials7Specialists8Treatment centers

Where are you in your journey?

UniteRare data is sourced from FDA.gov, ClinicalTrials.gov, Orphanet, OMIM, and NORD.
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Overview

PANDAS stands for Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections. It is a condition in which a strep infection — the same kind that causes strep throat — triggers the immune system to mistakenly attack parts of the brain. This leads to a sudden and dramatic change in a child's behavior and mental health. The condition is closely related to a broader category called PANS (Pediatric Acute-onset Neuropsychiatric Syndrome), which can be triggered by other infections or causes beyond just strep. The main symptoms appear very suddenly, often overnight, and include obsessive-compulsive behaviors (OCD), tics, anxiety, mood swings, and trouble with schoolwork or handwriting. Children may also have difficulty sleeping, experience bedwetting, or show unusual movements. The key feature that sets PANDAS apart is how abruptly these symptoms appear — often within 24 to 48 hours after a strep infection. Treatment focuses on two main goals: clearing the strep infection with antibiotics and managing the neuropsychiatric symptoms. Antibiotics like penicillin or amoxicillin are commonly used. Behavioral therapies and medications for OCD or anxiety may also help. In more severe cases, immune-based treatments such as intravenous immunoglobulin (IVIG) or plasmapheresis (plasma exchange) have been used. With proper treatment, many children improve significantly, though some may have relapses with future strep infections.

Also known as:

Key symptoms:

Sudden onset of obsessive-compulsive behaviors (OCD)Sudden onset of tics (repetitive movements or sounds)Severe anxiety or panic attacksEmotional outbursts or extreme mood swingsTrouble concentrating or a drop in school performanceDeterioration in handwritingDifficulty sleeping or nighttime fearsBedwetting or other urinary problems in a child who was previously toilet trainedUnusual movements or jerky motionsSensory sensitivities (being bothered by sounds, textures, or light)Separation anxietyIrritability or aggressionRefusal to eat (food restriction)

Clinical phenotype terms (24)— hover any for plain English
TicsHP:0100033Personality changesHP:0000751Obsessive-compulsive traitHP:0008770Oppositional defiant disorderHP:0010865ImpulsivityHP:0100710Abnormal fear-induced behaviorHP:0100852AgoraphobiaHP:0000756EnuresisHP:0000805PhonophobiaHP:0002183Recurrent streptococcus pneumoniae infectionsHP:0005366
Inheritance

Multifactorial

Caused by a mix of several genes and environmental factors

Age of Onset

Childhood

Begins in childhood, roughly ages 1 to 12

Orphanet ↗NORD ↗

FDA & Trial Timeline

2 events
Feb 2025PEDI Pediatric Autoimmune Neuropsychiatric Disorder Associated With Streptococcus Study

University of Wisconsin, Madison

TrialRECRUITING
Mar 2013Neurobiologic, Immunologic, and Rheumatologic Markers in Youth With PANS

Stanford University

TrialRECRUITING

Data sourced from FDA regulatory filings and ClinicalTrials.gov. Updated periodically.

Treatments

No FDA-approved treatments are currently listed for PANDAS.

2 clinical trialsare actively recruiting — trials can provide access to cutting-edge therapies.

View clinical trials →

Clinical Trials

2 recruitingView all trials with filters →
Other2 trials
Neurobiologic, Immunologic, and Rheumatologic Markers in Youth With PANS
Actively Recruiting
· Sites: Palo Alto, California · Age: 418 yrs
PEDI Pediatric Autoimmune Neuropsychiatric Disorder Associated With Streptococcus Study
Actively Recruiting
PI: Ellen R Wald, MD (UW School of Medicine and Public Health) · Sites: Lebanon, New Hampshire; Madison, Wisconsin · Age: 317 yrs

Specialists

7 foundView all specialists →
TM
Tanya Murphy, MD
Specialist
PI on 1 active trial
SM
Susan E Swedo, M.D.
BETHESDA, MD
Specialist
PI on 2 active trials
EM
Ellen R Wald, MD
MADISON, WI
Specialist
PI on 2 active trials
TP
Thierry CONROY, Pr
Specialist
PI on 1 active trial
RD
Ronald Litman, DO
MARION, OH
Specialist
PI on 1 active trial
MP
Megan L Fitzgerald, PhD
Delafield, Wisconsin
Specialist

Rare Disease Specialist

PI on 1 active trial
SP
Stefano Pallanti
STANFORD, CA
Specialist
PI on 1 active trial

Treatment Centers

8 centers
🏥 NORD

Baylor College of Medicine Rare Disease Center

Baylor College of Medicine

📍 Houston, TX

🏥 NORD

Stanford Medicine Rare Disease Center

Stanford Medicine

📍 Stanford, CA

🔬 UDN

NIH Clinical Center Undiagnosed Diseases Program

National Institutes of Health

📍 Bethesda, MD

🔬 UDN

UCLA UDN Clinical Site

UCLA Health

📍 Los Angeles, CA

🔬 UDN

Baylor College of Medicine UDN Clinical Site

Baylor College of Medicine

📍 Houston, TX

🔬 UDN

Harvard/MGH UDN Clinical Site

Massachusetts General Hospital

📍 Boston, MA

🏥 NORD

Mayo Clinic Center for Individualized Medicine

Mayo Clinic

📍 Rochester, MN

👤 Mayo Clinic Center for Individualized Medicine

🏥 NORD

UCLA Rare Disease Day Program

UCLA Health

📍 Los Angeles, CA

Travel Grants

No travel grants are currently matched to PANDAS.

Search all travel grants →NORD Financial Assistance ↗

Community

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Latest news about PANDAS

Disease timeline:

New recruiting trial: PEDI Pediatric Autoimmune Neuropsychiatric Disorder Associated With Streptococcus Study

A new clinical trial is recruiting patients for PANDAS

New recruiting trial: Neurobiologic, Immunologic, and Rheumatologic Markers in Youth With PANS

A new clinical trial is recruiting patients for PANDAS

Caregiver Resources

NORD Caregiver Resources

Support, advocacy, and financial assistance for caregivers of rare disease patients.

Mental Health Support

Rare disease caregiving can be isolating. Connect with counseling and peer support.

Family & Caregiver Grants

Financial assistance programs specifically for caregivers of rare disease patients.

Social Security Disability

Learn how rare disease patients may qualify for SSDI/SSI benefits.

Questions for your doctor

Bring these to your next appointment

  • Q1.How confident are you in the PANDAS diagnosis, and what other conditions have been ruled out?,Should my child be on long-term preventive antibiotics, and what are the risks and benefits?,What should I do if my child is exposed to strep at school or has a sore throat?,Is my child a candidate for IVIG or plasmapheresis, and where can we access these treatments?,What behavioral therapies do you recommend, and how do we find a therapist experienced with PANDAS?,How do I work with my child's school to get appropriate support during flares?,What are the signs that symptoms are getting worse and when should I bring my child to the emergency room?

Common questions about PANDAS

What is PANDAS?

PANDAS stands for Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections. It is a condition in which a strep infection — the same kind that causes strep throat — triggers the immune system to mistakenly attack parts of the brain. This leads to a sudden and dramatic change in a child's behavior and mental health. The condition is closely related to a broader category called PANS (Pediatric Acute-onset Neuropsychiatric Syndrome), which can be triggered by other infections or causes beyond just strep. The main symptoms appear very suddenly, often overnight, and

How is PANDAS inherited?

PANDAS follows a multifactorial inheritance pattern. Genetic counseling can help families understand recurrence risk and testing options.

At what age does PANDAS typically begin?

Typical onset of PANDAS is childhood. Age of onset can vary across affected individuals.

Are there clinical trials for PANDAS?

Yes — 2 recruiting clinical trials are currently listed for PANDAS on UniteRare. See the clinical trials section on this page for phase, sponsor, and site details sourced from ClinicalTrials.gov.

Which specialists treat PANDAS?

7 specialists and care centers treating PANDAS are listed on UniteRare, sourced from ClinicalTrials.gov principal investigators, published research, and the NPPES NPI registry.