{"id":13029,"date":"2021-09-08T13:45:21","date_gmt":"2021-09-08T18:45:21","guid":{"rendered":"https:\/\/last-drum.flywheelsites.com\/?p=13029"},"modified":"2022-02-23T11:08:33","modified_gmt":"2022-02-23T16:08:33","slug":"pans-and-autism-2021-updates","status":"publish","type":"post","link":"https:\/\/autism.org\/pans-and-autism-2021-updates\/","title":{"rendered":"Systemic Inflammatory &#038; Autoimmune Diseases\u2014PANS"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_6 1_6 fusion-one-sixth fusion-column-first\" style=\"--awb-bg-size:cover;width:16.666666666667%;width:calc(16.666666666667% - ( ( 4% + 4% ) * 0.16666666666667 ) );margin-right: 4%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_2_3 2_3 fusion-two-third\" style=\"--awb-bg-size:cover;width:66.666666666667%;width:calc(66.666666666667% - ( ( 4% + 4% ) * 0.66666666666667 ) );margin-right: 4%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:20px;width:100%;\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-text fusion-text-1\" style=\"--awb-text-transform:none;\"><p style=\"text-align: left;\"><span style=\"font-weight: 400;\"><a href=\"#jump\">Jennifer Frankovich MD MS<\/a>, clinical professor at Stanford University\/Lucile Packard Children\u2019s Hospital, discusses the co-occurrence of systemic inflammatory and autoimmune diseases \u2013 including the overlap between pediatric acute-onset neuropsychiatric syndrome (PANS) and autism. She outlines the presentation of classic rheumatologic diseases noting the prevalence of mental health symptoms and provides clinical criteria for PANS. Frankovich discusses PANS as a relapsing\/remitting condition and explores the clinical management options, citing recent studies on steroid use. She concludes by reemphasizing the association of psychiatric symptoms with autoimmune and rheumatologic diseases and states the importance of post-flare rehabilitation before opening the floor to questions.<\/span><\/p>\n<p><strong>Take the knowledge quiz for this presentation <a href=\"#jump\">HERE<\/a><\/strong><\/p>\n<\/div><div class=\"fusion-video fusion-youtube fusion-aligncenter\" style=\"--awb-max-width:1500px;--awb-max-height:844px;--awb-width:100%;\"><div class=\"video-shortcode\"><div class=\"fluid-width-video-wrapper\" style=\"padding-top:56.27%;\" ><iframe title=\"YouTube video player 1\" src=\"https:\/\/www.youtube.com\/embed\/Q3-PwtECUFQ?wmode=transparent&autoplay=0\" width=\"1500\" height=\"844\" allowfullscreen allow=\"autoplay; fullscreen\"><\/iframe><\/div><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:40px;width:100%;\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-text fusion-text-2\"><h2><strong>In this presentation<\/strong><\/h2>\n<p><span style=\"font-weight: 400;\"><b>3:20 &#8211;\u00a0<\/b>Inflammatory diseases with comorbid psychiatric symptoms<br \/>\n<\/span><span style=\"font-weight: 400;\"><b>20:20 &#8211;\u00a0<\/b>PANS clinical criteria<br \/>\n<\/span><span style=\"font-weight: 400;\"><b>34:54 &#8211;\u00a0<\/b>PANS model<br \/>\n<\/span><span style=\"font-weight: 400;\"><b>22:15 &#8211;\u00a0<\/b>Prevalence of PANS comorbid traits<br \/>\n<\/span><span style=\"font-weight: 400;\"><b>23:48 &#8211;\u00a0<\/b>Non-specific inflammatory signs<br \/>\n<\/span><b>29:00 &#8211;\u00a0<\/b>Clinical Management of PANS<br \/>\n<b>33:30 &#8211;\u00a0<\/b>Study: Impact of steroid treatments on PANS episode duration<br \/>\n<b>37:15 &#8211;\u00a0<\/b>Study: Monocyte subsets associated with PANS clinical states<br \/>\n<b>44:16 &#8211;\u00a0<\/b>Q &amp; A session<\/p>\n<h2>Summary<\/h2>\n<p><span style=\"font-weight: 400;\">Classic rheumatologic conditions such as Lupus <\/span><b>(4:30)<\/b><span style=\"font-weight: 400;\">, Beh\u00e7et&#8217;s syndrome <\/span><b>(5:43)<\/b><span style=\"font-weight: 400;\">, Sj\u00f6gren&#8217;s syndrome <\/span><b>(9:30)<\/b><span style=\"font-weight: 400;\">, Scleroderma <\/span><b>(9:53)<\/b><span style=\"font-weight: 400;\">, Spondyloarthritis <\/span><b>(10:31)<\/b><span style=\"font-weight: 400;\">, Inflammatory bowel disease <\/span><b>(11:30)<\/b><span style=\"font-weight: 400;\">, Psoriasis\/Psoriatic Arthritis <\/span><b>(12:03)<\/b><span style=\"font-weight: 400;\">, CNS Vasculitis <\/span><b>(13:05)<\/b><span style=\"font-weight: 400;\">, and Sydenham Chorea (SC) <\/span><b>(13:20) <\/b><span style=\"font-weight: 400;\">are associated with psychiatric symptoms such as OCD, anxiety, depression and\/or other behavior changes. PANS <\/span><b>(20:20)<\/b><span style=\"font-weight: 400;\"> also presents with acute onset of OCD or eating disorders. These psychological comorbidities \u2013 specifically OCD \u2013 overlap with common symptoms of autism spectrum disorder making inflammatory diseases difficult to diagnose in children on the spectrum. Psychiatric symptoms in individuals with autism can distract from rheumatologic symptoms due to subtle\/masked physical manifestations and\/or communication difficulties. The onset of certain diseases \u2013 especially PANS \u2013 can also exacerbate psychological symptoms of ASD and often lead to autoimmune disease diagnosis <\/span><b>(2:35)<\/b><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">There is a historic association of pediatric streptococcal throat infections with mental disorders \u2013 particularly OCD and tic disorders <\/span><b>(18:00)<\/b><span style=\"font-weight: 400;\">. This is especially true in cases of SC and PANS\/PANDAS where patients generally present with symptoms 1 \u2013 8 months after exposure to a Group A Streptococcal infection <\/span><b>(13:20)<\/b><span style=\"font-weight: 400;\">. Studies have also shown increased volume of basal ganglia during the first episode(s) of CS and PANS <\/span><b>(18:42)<\/b><span style=\"font-weight: 400;\"> demonstrating onset of encephalitis. PANS cases present with an acute onset of OCD or eating restrictions and at least 2 of seven comorbid symptoms <\/span><b>(20:20)<\/b><span style=\"font-weight: 400;\">. Patients display a very abrupt deterioration in performance, behavior, and mental stability \u2013 parents have described it as a personality shift overnight.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Clinical management of PANS <\/span><b>(29:00)<\/b><span style=\"font-weight: 400;\"> varies based on each patient. Treatments are generally approached in three stages:<\/span><\/p>\n<ol>\n<li><span style=\"font-weight: 400;\"> \u00a0 <\/span> <span style=\"font-weight: 400;\">Find and treat active infections (i.e. strep, sinusitis, etc.)<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> \u00a0 <\/span> <span style=\"font-weight: 400;\">Treat post-infectious inflammation and autoimmunity (if present)<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> \u00a0 <\/span> <span style=\"font-weight: 400;\">Note that inflammation can cause tissue injury making post-flare rehabilitation highly important <\/span><b>(40:00)<\/b><\/li>\n<li><span style=\"font-weight: 400;\"> \u00a0 <\/span> <span style=\"font-weight: 400;\">Treat psychiatric symptoms<\/span><\/li>\n<\/ol>\n<p><span style=\"font-weight: 400;\">Post-infectious inflammation is often treated with steroids (NSAIDS, IVIG, etc.). 5 day oral steroid bursts have proven helpful if administered at the beginning of an episode and IVIG trials are taking shape currently <\/span><b>(32:00)<\/b><span style=\"font-weight: 400;\">. PANS is understood as a relapsing\/remitting disease <\/span><b>(21:35)<\/b><span style=\"font-weight: 400;\"> and most patients will return to baseline within a few months after the initial episode. Later, likely following some sort of infection, they will have a relapse episode lasting around 3 months. If flares are caught quickly and treated properly, over time episode length can shrink. However, without treatment, after 4 or 5 flares the symptoms become more chronic <\/span><b>(33:30)<\/b><span style=\"font-weight: 400;\">. Episodes generally decrease with age but it is suspected that patients maintain the predisposition to episodes throughout their lifetime and a number of patients develop autoimmune diseases over time <\/span><b>(27:30)<\/b><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Frankovich concludes <\/span><b>(38:42) <\/b><span style=\"font-weight: 400;\">by emphasizing the strong association of post-infectious inflammatory disorders and autoimmune diseases with psychiatric symptoms. She notes that psychiatric symptoms can precede full presentation of inflammatory conditions and urges clinicians and parents to use PANS evaluation guidelines when a child with ASD suddenly develops new psychiatric traits. During the Q&amp;A Frankovich comments on differences between regressive autism and PANS, treatment options, limitations to diagnosis and clinician assistance, international programs and more.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">For treatment recommendations and steroid regimens see appendix B of the treatment guidelines found at<\/span><a href=\"https:\/\/med.stanford.edu\/pans\"> <span style=\"font-weight: 400;\">med.stanford.edu\/PANS<\/span><\/a><span style=\"font-weight: 400;\"> (publications tab).<\/span><\/p>\n<\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:40px;width:100%;\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:40px;width:100%;\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_6 1_6 fusion-one-sixth fusion-column-last\" style=\"--awb-bg-size:cover;width:16.666666666667%;width:calc(16.666666666667% - ( ( 4% + 4% ) * 0.16666666666667 ) );\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><div id=\"jump\" class=\"fusion-container-anchor\"><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_1_3 1_3 fusion-one-third fusion-column-first\" style=\"--awb-bg-size:cover;width:33.333333333333%;width:calc(33.333333333333% - ( ( 4% ) * 0.33333333333333 ) );margin-right: 4%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-3\"><h3>About the speaker:<\/h3>\n<div>\n<div class=\"z-form-row\">\n<div class=\"form-group\">\n<p><img decoding=\"async\" class=\"lazyload alignleft size-full wp-image-13030\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%27149%27%20height%3D%27144%27%20viewBox%3D%270%200%20149%20144%27%3E%3Crect%20width%3D%27149%27%20height%3D%27144%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/autism.org\/wp-content\/uploads\/2021\/04\/frankovich.jpg\" alt=\"\" width=\"149\" height=\"144\" \/><strong>Dr. Jennifer Frankovich<\/strong> is a Clinical Professor in the Department of Pediatrics, Division of Allergy, Immunology Rheumatology (AIR) at Stanford University\/Lucile Packard Children\u2019s Hospital (LPCH). Her clinical expertise is in systemic inflammatory and autoimmune diseases that co-occur with psychiatric symptoms. She completed her training in pediatrics, pediatric rheumatology, and clinical epidemiology at Stanford University\/LPCH. In addition to generating clinical data to better understand the PANS illness, she is collaborating with ten basic science labs who aim to understand the immunological underpinnings of the illness.<\/p>\n<\/div>\n<\/div>\n<div class=\"z-form-row\">\n<div class=\"form-group\"><\/div>\n<\/div>\n<\/div>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-4 fusion_builder_column_2_3 2_3 fusion-two-third fusion-column-last\" style=\"--awb-bg-size:cover;width:66.666666666667%;width:calc(66.666666666667% - ( ( 4% ) * 0.66666666666667 ) );\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-4\"><h4>Take the knowledge quiz<\/h4>\n<p>Can&#8217;t see the quiz below? 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srcset=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%27450%27%20height%3D%27450%27%20viewBox%3D%270%200%20450%20450%27%3E%3Crect%20width%3D%27450%27%20height%3D%27450%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/autism.org\/wp-content\/uploads\/2024\/03\/GI2-450x441.jpeg\" data-srcset=\"https:\/\/autism.org\/wp-content\/uploads\/2024\/03\/GI2-66x66.jpeg 66w, https:\/\/autism.org\/wp-content\/uploads\/2024\/03\/GI2-450x441.jpeg 450w\" data-sizes=\"auto\" \/><\/a><\/li><\/ul><\/div><div class=\"recent-posts-content\"><span class=\"vcard\" style=\"display: none;\"><span class=\"fn\"><a href=\"https:\/\/autism.org\/author\/autismadmin\/\" title=\"Posts by autismAdmin\" rel=\"author\">autismAdmin<\/a><\/span><\/span><span class=\"updated\" style=\"display:none;\">2025-08-25T11:42:07-05:00<\/span><h4 class=\"entry-title\"><a href=\"https:\/\/autism.org\/gi-behavior\/\">Research Updates: GI Symptoms &#038; Behavior<\/a><\/h4><p class=\"meta\"><span class=\"vcard\" style=\"display: none;\"><span class=\"fn\"><a href=\"https:\/\/autism.org\/author\/autismadmin\/\" title=\"Posts by autismAdmin\" rel=\"author\">autismAdmin<\/a><\/span><\/span><span class=\"updated\" style=\"display:none;\">2025-08-25T11:42:07-05:00<\/span><span>March 5th, 2025<\/span><span class=\"fusion-inline-sep\">|<\/span><a href=\"https:\/\/autism.org\/category\/anxiety-2\/\" rel=\"category tag\">Anxiety<\/a>, <a href=\"https:\/\/autism.org\/category\/webinar\/gastrointestinal-webinar\/\" rel=\"category tag\">Gastrointestinal<\/a>, <a href=\"https:\/\/autism.org\/category\/health\/\" rel=\"category tag\">Health<\/a>, <a href=\"https:\/\/autism.org\/category\/medical-care\/\" rel=\"category tag\">Medical Care<\/a>, <a href=\"https:\/\/autism.org\/category\/webinar\/meltdowns\/\" rel=\"category tag\">Meltdowns<\/a>, <a href=\"https:\/\/autism.org\/category\/news\/\" rel=\"category tag\">News<\/a>, <a href=\"https:\/\/autism.org\/category\/webinar\/nutrition\/\" rel=\"category tag\">Nutrition<\/a>, <a href=\"https:\/\/autism.org\/category\/webinar\/research-webinar\/\" rel=\"category tag\">Research<\/a>, <a href=\"https:\/\/autism.org\/category\/webinar\/self-care\/\" rel=\"category tag\">Self Care<\/a>, <a href=\"https:\/\/autism.org\/category\/self-injury-2\/\" rel=\"category tag\">Self Injury<\/a>, <a href=\"https:\/\/autism.org\/category\/webinar\/self-injury\/\" rel=\"category tag\">Self-Injury<\/a>, <a href=\"https:\/\/autism.org\/category\/webinar\/sensory\/\" rel=\"category tag\">Sensory<\/a>, <a href=\"https:\/\/autism.org\/webinars\/\" rel=\"category tag\">Webinar<\/a><span class=\"fusion-inline-sep\">|<\/span><\/p><p>    Dr. Bradley Ferguson, PhD, a 2024 research grant recipient, discusses emerging research on the interaction of GI symptoms and stress in autism. He outlines recent investigations highlighting the connection between GI<\/p><\/div><\/article><article class=\"post fusion-column column col col-lg-4 col-md-4 col-sm-4\"><div class=\"fusion-flexslider fusion-flexslider-loading flexslider flexslider-hover-type-none\"><ul class=\"slides\"><li><a href=\"https:\/\/autism.org\/blood-brain-barrier-dysfunction-in-pediatric-acute-neuropsychiatric-syndrome-pans-and-regulation\/\" aria-label=\"Research Update: Blood-brain barrier dysfunction in Pediatric Acute Neuropsychiatric Syndrome (PANS) and Regulation\" class=\"hover-type-none\"><img decoding=\"async\" width=\"700\" height=\"441\" src=\"https:\/\/autism.org\/wp-content\/uploads\/2020\/02\/anxiety-2-700x441.jpeg\" class=\"attachment-recent-posts size-recent-posts lazyload\" alt=\"Sad little child is hugging his mother\" srcset=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%272560%27%20height%3D%272099%27%20viewBox%3D%270%200%202560%202099%27%3E%3Crect%20width%3D%272560%27%20height%3D%272099%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/autism.org\/wp-content\/uploads\/2020\/02\/anxiety-2-700x441.jpeg\" data-srcset=\"https:\/\/autism.org\/wp-content\/uploads\/2020\/02\/anxiety-2-320x202.jpeg 320w, https:\/\/autism.org\/wp-content\/uploads\/2020\/02\/anxiety-2-700x441.jpeg 700w\" data-sizes=\"auto\" \/><\/a><\/li><\/ul><\/div><div class=\"recent-posts-content\"><span class=\"vcard\" style=\"display: none;\"><span class=\"fn\"><a href=\"https:\/\/autism.org\/author\/autismadmin\/\" title=\"Posts by autismAdmin\" rel=\"author\">autismAdmin<\/a><\/span><\/span><span class=\"updated\" style=\"display:none;\">2025-03-12T14:26:25-05:00<\/span><h4 class=\"entry-title\"><a href=\"https:\/\/autism.org\/blood-brain-barrier-dysfunction-in-pediatric-acute-neuropsychiatric-syndrome-pans-and-regulation\/\">Research Update: Blood-brain barrier dysfunction in Pediatric Acute Neuropsychiatric Syndrome (PANS) and Regulation<\/a><\/h4><p class=\"meta\"><span class=\"vcard\" style=\"display: none;\"><span class=\"fn\"><a href=\"https:\/\/autism.org\/author\/autismadmin\/\" title=\"Posts by autismAdmin\" rel=\"author\">autismAdmin<\/a><\/span><\/span><span class=\"updated\" style=\"display:none;\">2025-03-12T14:26:25-05:00<\/span><span>June 20th, 2024<\/span><span class=\"fusion-inline-sep\">|<\/span><a href=\"https:\/\/autism.org\/category\/webinar\/anxiety\/\" rel=\"category tag\">Anxiety<\/a>, <a href=\"https:\/\/autism.org\/category\/webinar\/assessment\/\" rel=\"category tag\">Assessment<\/a>, <a href=\"https:\/\/autism.org\/category\/autism-spectrum-disorders\/\" rel=\"category tag\">Autism Spectrum Disorders<\/a>, <a href=\"https:\/\/autism.org\/category\/biomarkers\/\" rel=\"category tag\">Biomarkers<\/a>, <a href=\"https:\/\/autism.org\/category\/early-intervention\/\" rel=\"category tag\">Early Intervention<\/a>, <a href=\"https:\/\/autism.org\/category\/health\/\" rel=\"category tag\">Health<\/a>, <a href=\"https:\/\/autism.org\/category\/medical-care\/\" rel=\"category tag\">Medical Care<\/a>, <a href=\"https:\/\/autism.org\/category\/webinar\/neurological\/\" rel=\"category tag\">Neurological<\/a>, <a href=\"https:\/\/autism.org\/category\/news\/\" rel=\"category tag\">News<\/a>, <a href=\"https:\/\/autism.org\/category\/pans-pandas\/\" rel=\"category tag\">PANS\/PANDAS<\/a>, <a href=\"https:\/\/autism.org\/category\/parenting\/\" rel=\"category tag\">Parenting<\/a>, <a href=\"https:\/\/autism.org\/category\/research\/\" rel=\"category tag\">Research<\/a>, <a href=\"https:\/\/autism.org\/category\/webinar\/school-issues\/\" rel=\"category tag\">School Issues<\/a>, <a href=\"https:\/\/autism.org\/category\/autism-spectrum-disorders\/ways-to-help\/\" rel=\"category tag\">Ways to Help<\/a>, <a href=\"https:\/\/autism.org\/webinars\/\" rel=\"category tag\">Webinar<\/a><span class=\"fusion-inline-sep\">|<\/span><\/p><p>    Dr. Jennifer Frankovich reviews what we know about the underlying mechanisms, trajectories, and symptoms of Pediatric Acute Neuropsychiatric Syndrome (PANS). She discusses the role of the Basal Ganglia in PANS symptoms<\/p><\/div><\/article><article class=\"post fusion-column column col col-lg-4 col-md-4 col-sm-4\"><div class=\"fusion-flexslider fusion-flexslider-loading flexslider flexslider-hover-type-none\"><ul class=\"slides\"><li><a href=\"https:\/\/autism.org\/autism-and-anxiety\/\" aria-label=\"Autism and Anxiety\" class=\"hover-type-none\"><img decoding=\"async\" width=\"700\" height=\"441\" src=\"https:\/\/autism.org\/wp-content\/uploads\/2020\/08\/AdobeStock_246169175-700x441.jpeg\" class=\"attachment-recent-posts size-recent-posts lazyload\" alt=\"Anxious young girl covering her face\" srcset=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%272560%27%20height%3D%271707%27%20viewBox%3D%270%200%202560%201707%27%3E%3Crect%20width%3D%272560%27%20height%3D%271707%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/autism.org\/wp-content\/uploads\/2020\/08\/AdobeStock_246169175-700x441.jpeg\" data-srcset=\"https:\/\/autism.org\/wp-content\/uploads\/2020\/08\/AdobeStock_246169175-320x202.jpeg 320w, https:\/\/autism.org\/wp-content\/uploads\/2020\/08\/AdobeStock_246169175-700x441.jpeg 700w\" data-sizes=\"auto\" \/><\/a><\/li><\/ul><\/div><div class=\"recent-posts-content\"><span class=\"vcard\" style=\"display: none;\"><span class=\"fn\"><a href=\"https:\/\/autism.org\/author\/nicoleautism-com\/\" title=\"Posts by Nicole\" rel=\"author\">Nicole<\/a><\/span><\/span><span class=\"updated\" style=\"display:none;\">2021-02-19T05:46:24-05:00<\/span><h4 class=\"entry-title\"><a href=\"https:\/\/autism.org\/autism-and-anxiety\/\">Autism and Anxiety<\/a><\/h4><p class=\"meta\"><span class=\"vcard\" style=\"display: none;\"><span class=\"fn\"><a href=\"https:\/\/autism.org\/author\/nicoleautism-com\/\" title=\"Posts by Nicole\" rel=\"author\">Nicole<\/a><\/span><\/span><span class=\"updated\" style=\"display:none;\">2021-02-19T05:46:24-05:00<\/span><span>September 14th, 2020<\/span><span class=\"fusion-inline-sep\">|<\/span><a href=\"https:\/\/autism.org\/category\/anxiety-2\/\" rel=\"category tag\">Anxiety<\/a>, <a href=\"https:\/\/autism.org\/category\/news\/\" rel=\"category tag\">News<\/a><span class=\"fusion-inline-sep\">|<\/span><\/p><p>   Anxiety disorders are among the common comorbidities of autism spectrum disorder. The reason for this overlap is still under investigation. However, several treatments for anxiety may deliver positive results for people with<\/p><\/div><\/article><article class=\"post fusion-column column col col-lg-4 col-md-4 col-sm-4\"><div class=\"fusion-flexslider fusion-flexslider-loading flexslider flexslider-hover-type-none\"><ul class=\"slides\"><li><a href=\"https:\/\/autism.org\/pans-pandas-in-children-with-autism\/\" aria-label=\"PANS\/PANDAS in Children with Autism\" class=\"hover-type-none\"><img decoding=\"async\" width=\"700\" height=\"441\" src=\"https:\/\/autism.org\/wp-content\/uploads\/2020\/08\/AdobeStock_252792863-700x441.jpeg\" class=\"attachment-recent-posts size-recent-posts lazyload\" alt=\"Boy has strep throat. Children&#039;s ENT doctor examines boy&#039;s throat. Children&#039;s diseases, medical examination.\" srcset=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%272560%27%20height%3D%271707%27%20viewBox%3D%270%200%202560%201707%27%3E%3Crect%20width%3D%272560%27%20height%3D%271707%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/autism.org\/wp-content\/uploads\/2020\/08\/AdobeStock_252792863-700x441.jpeg\" data-srcset=\"https:\/\/autism.org\/wp-content\/uploads\/2020\/08\/AdobeStock_252792863-320x202.jpeg 320w, https:\/\/autism.org\/wp-content\/uploads\/2020\/08\/AdobeStock_252792863-700x441.jpeg 700w\" data-sizes=\"auto\" \/><\/a><\/li><\/ul><\/div><div class=\"recent-posts-content\"><span class=\"vcard\" style=\"display: none;\"><span class=\"fn\"><a href=\"https:\/\/autism.org\/author\/nicoleautism-com\/\" title=\"Posts by Nicole\" rel=\"author\">Nicole<\/a><\/span><\/span><span class=\"updated\" style=\"display:none;\">2022-05-10T16:48:41-05:00<\/span><h4 class=\"entry-title\"><a href=\"https:\/\/autism.org\/pans-pandas-in-children-with-autism\/\">PANS\/PANDAS in Children with Autism<\/a><\/h4><p class=\"meta\"><span class=\"vcard\" style=\"display: none;\"><span class=\"fn\"><a href=\"https:\/\/autism.org\/author\/nicoleautism-com\/\" title=\"Posts by Nicole\" rel=\"author\">Nicole<\/a><\/span><\/span><span class=\"updated\" style=\"display:none;\">2022-05-10T16:48:41-05:00<\/span><span>August 26th, 2020<\/span><span class=\"fusion-inline-sep\">|<\/span><a href=\"https:\/\/autism.org\/category\/health\/\" rel=\"category tag\">Health<\/a>, <a href=\"https:\/\/autism.org\/category\/news\/\" rel=\"category tag\">News<\/a>, <a href=\"https:\/\/autism.org\/category\/pans-pandas\/\" rel=\"category tag\">PANS\/PANDAS<\/a><span class=\"fusion-inline-sep\">|<\/span><\/p><p>   The information below is from the 2019 ARI webinar, PANS\/PANDAS - Research Updates In rare cases, some children may experience the sudden onset of Obsessive-Compulsive Disorder or eating disorders. This pediatric acute-onset<\/p><\/div><\/article><article class=\"post fusion-column column col col-lg-4 col-md-4 col-sm-4\"><div class=\"fusion-flexslider fusion-flexslider-loading flexslider flexslider-hover-type-none\"><ul class=\"slides\"><li><a href=\"https:\/\/autism.org\/pans-pandas-research-updates\/\" aria-label=\"PANS\/PANDAS &#8211; Research Updates\" class=\"hover-type-none\"><img decoding=\"async\" width=\"700\" height=\"441\" src=\"https:\/\/autism.org\/wp-content\/uploads\/2019\/11\/Untitled-design-2019-10-16T121213.962-700x441.jpg\" class=\"attachment-recent-posts size-recent-posts lazyload\" alt=\"Doctor talking to a child during a check-up\" srcset=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%271280%27%20height%3D%27720%27%20viewBox%3D%270%200%201280%20720%27%3E%3Crect%20width%3D%271280%27%20height%3D%27720%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/autism.org\/wp-content\/uploads\/2019\/11\/Untitled-design-2019-10-16T121213.962-700x441.jpg\" data-srcset=\"https:\/\/autism.org\/wp-content\/uploads\/2019\/11\/Untitled-design-2019-10-16T121213.962-320x202.jpg 320w, https:\/\/autism.org\/wp-content\/uploads\/2019\/11\/Untitled-design-2019-10-16T121213.962-700x441.jpg 700w\" data-sizes=\"auto\" \/><\/a><\/li><\/ul><\/div><div class=\"recent-posts-content\"><span class=\"vcard\" style=\"display: none;\"><span class=\"fn\"><a href=\"https:\/\/autism.org\/author\/autismadmin\/\" title=\"Posts by autismAdmin\" rel=\"author\">autismAdmin<\/a><\/span><\/span><span class=\"updated\" style=\"display:none;\">2025-03-21T20:08:30-05:00<\/span><h4 class=\"entry-title\"><a href=\"https:\/\/autism.org\/pans-pandas-research-updates\/\">PANS\/PANDAS  &#8211; Research Updates<\/a><\/h4><p class=\"meta\"><span class=\"vcard\" style=\"display: none;\"><span class=\"fn\"><a href=\"https:\/\/autism.org\/author\/autismadmin\/\" title=\"Posts by autismAdmin\" rel=\"author\">autismAdmin<\/a><\/span><\/span><span class=\"updated\" style=\"display:none;\">2025-03-21T20:08:30-05:00<\/span><span>November 5th, 2019<\/span><span class=\"fusion-inline-sep\">|<\/span><a href=\"https:\/\/autism.org\/category\/webinar\/anxiety\/\" rel=\"category tag\">Anxiety<\/a>, <a href=\"https:\/\/autism.org\/category\/autism-spectrum-disorders\/\" rel=\"category tag\">Autism Spectrum Disorders<\/a>, <a href=\"https:\/\/autism.org\/category\/webinar\/immune-issues\/\" rel=\"category tag\">Immune Issues<\/a>, <a href=\"https:\/\/autism.org\/webinars\/\" rel=\"category tag\">Webinar<\/a><span class=\"fusion-inline-sep\">|<\/span><\/p><p>    Susan Swedo, M.D. discusses research findings on causes, symptoms, and treatments for PANS\/PANDAS. She highlights the differences in syndromes and diseases and discusses the diagnosis and clinical presentation of PANS\/PANDAS, asserting<\/p><\/div><\/article><article class=\"post fusion-column column col col-lg-4 col-md-4 col-sm-4\"><div class=\"fusion-flexslider fusion-flexslider-loading flexslider flexslider-hover-type-none\"><ul class=\"slides\"><li><a href=\"https:\/\/autism.org\/pans-pandas\/\" aria-label=\"PANS\/PANDAS\" class=\"hover-type-none\"><img decoding=\"async\" width=\"700\" height=\"441\" src=\"https:\/\/autism.org\/wp-content\/uploads\/2018\/09\/AdobeStock_79181375-700x441.jpeg\" class=\"attachment-recent-posts size-recent-posts lazyload\" alt=\"Lonely child with a sad expression in the yard\" srcset=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%272560%27%20height%3D%271707%27%20viewBox%3D%270%200%202560%201707%27%3E%3Crect%20width%3D%272560%27%20height%3D%271707%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/autism.org\/wp-content\/uploads\/2018\/09\/AdobeStock_79181375-700x441.jpeg\" data-srcset=\"https:\/\/autism.org\/wp-content\/uploads\/2018\/09\/AdobeStock_79181375-320x202.jpeg 320w, https:\/\/autism.org\/wp-content\/uploads\/2018\/09\/AdobeStock_79181375-700x441.jpeg 700w\" data-sizes=\"auto\" \/><\/a><\/li><\/ul><\/div><div class=\"recent-posts-content\"><span class=\"vcard\" style=\"display: none;\"><span class=\"fn\"><a href=\"https:\/\/autism.org\/author\/firespringint\/\" title=\"Posts by firespringInt\" rel=\"author\">firespringInt<\/a><\/span><\/span><span class=\"updated\" style=\"display:none;\">2019-12-11T04:48:04-05:00<\/span><h4 class=\"entry-title\"><a href=\"https:\/\/autism.org\/pans-pandas\/\">PANS\/PANDAS<\/a><\/h4><p class=\"meta\"><span class=\"vcard\" style=\"display: none;\"><span class=\"fn\"><a href=\"https:\/\/autism.org\/author\/firespringint\/\" title=\"Posts by firespringInt\" rel=\"author\">firespringInt<\/a><\/span><\/span><span class=\"updated\" style=\"display:none;\">2019-12-11T04:48:04-05:00<\/span><span>September 7th, 2018<\/span><span class=\"fusion-inline-sep\">|<\/span><a href=\"https:\/\/autism.org\/category\/health\/\" rel=\"category tag\">Health<\/a>, <a href=\"https:\/\/autism.org\/category\/webinar\/immune-issues\/\" rel=\"category tag\">Immune Issues<\/a>, <a href=\"https:\/\/autism.org\/category\/parenting\/\" rel=\"category tag\">Parenting<\/a>, <a href=\"https:\/\/autism.org\/webinars\/\" rel=\"category tag\">Webinar<\/a><span class=\"fusion-inline-sep\">|<\/span><\/p><p>   Free certificates of attendance are available upon successful completion of a brief knowledge quiz at: https:\/\/www.classmarker.com\/online-te\u2026 Watch Dr. Sue Swedo\u2019s presentation on the subset of individuals experiencing Obsessive\/Compulsive Disorder symptoms and are<\/p><\/div><\/article><\/section><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":4991,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[9449,3782,9450,4402,24],"tags":[4930,4693,58,8214,9481,9483,8853,9104,4141,9482],"class_list":["post-13029","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-anxiety-2","category-neurological","category-pans-pandas","category-parenting-webinar","category-webinar","tag-adulthood","tag-ari-webinar","tag-autism","tag-coronavirus","tag-covid","tag-covid-challenges","tag-covid-19","tag-pandemic","tag-school","tag-transitions-during-covid","webinar-author-jennifer-frankovich-md"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v26.6 (Yoast SEO v27.1.1) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Systemic Inflammatory &amp; Autoimmune Diseases\u2014PANS<\/title>\n<meta name=\"description\" content=\"Learn about the overlap between pediatric acute-onset neuropsychiatric syndrome (PANS) and autism. Presented by Jennifer Frankovich, MD.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/autism.org\/pans-and-autism-2021-updates\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Systemic Inflammatory &amp; Autoimmune Diseases\u2014PANS\" \/>\n<meta property=\"og:description\" content=\"Learn about the overlap between pediatric acute-onset neuropsychiatric syndrome (PANS) and autism. 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