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Before & After PANS

Before & After PANS - Some visual, behavioral & academic cues

PANS PANDAS Symptoms Signs Behavior Math Handwriting Regression
Image Credit: Designed by Freepik
It is not always easy to identify if a child has PANS. Knowing the PANS Diagnostic Criteria (see PANS/PANDAS Info) is a good place to start but you really have to look at the whole picture.  It often takes a collaborative effort to identify a child with PANS.

The School picture is an essential part of the entire story. For more detailed information on PANS at School see Manifestations of PANS in the School Setting - Symptoms & Supports

For more information about PANS/PANDAS Diagnostic Criteria.

Behavioral Regression & Handwriting Deterioration

Behavioral Regression, a PANS/PANDAS symptom, is shown here by a patient.  You can see the marked difference between the self-portrait during a PANS flare with regression as a symptom and the self-portrait while the child was healing.
Handwriting changes, correlate with an increase in neuropsychiatric symptoms. Prior to acute onset of Tics, the student was able to write neatly but after handwriting becomes almost illegible and not neatly placed on the paper.

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Behavior & Handwriting Changes

Behavior & Academic Changes

PANS PANDAS School Diagnosis Autoimmune Disease Signs Symptoms School Nurse Before After
PANS PANDAS School Diagnosis Autoimmune Disease Signs Symptoms School Nurse
The above two slides are from the NEPANS presentation: PANS/PANDAS IN THE SCHOOL SETTING:
From Symptoms To Supports given to School Nurses and Educators. The presentation is available in School Nurses & Educators
Reference: PANDAS in the School Setting by Kathy O'Rourke, MA-School Nurse News-2003
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Before/After Pdf

NEPANS New England PANS PANDAS Association logo

Image Credit: Designed by Freepik
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  • About Us
    • Mission & History
    • Our Board
    • NEPANS Newsletter
    • Contact Us
  • PANS/PANDAS Info
    • Before/After PANS - Examples
    • PANS/PANDAS Symptom Severity
    • OCD
    • PANS/PANDAS Rating Scales/Tracking Tools
  • Resources
    • PANS Information pdfs
    • Awareness Posters
    • PANS Family Stories
    • Websites/Studies/News >
      • JCAP-Treatment Guidelines & Consensus Paper
      • Research, Studies, Journals
      • Web Articles & Fact Sheets
      • In the News
    • School Resources >
      • Symptoms & Supports
      • Before/After PANS Examples
      • Nurses & Health Care Plans
      • Absences & Homebound
    • Video Library
  • Events
    • Upcoming Events >
      • Outreach Events - Presentation, Tables, Information
    • Past Events >
      • Reaching Recovery Evening
      • NEPANS Integrative Medicine Conference
      • CEC Convention
      • My Kid Is Not Crazy
      • Lecture Series
      • Family Events
      • Family Picnic w PANS Life
      • CT Conf-2014
      • NH Conf-2014
      • Dr's Breakfast-14
      • Parent's Q&A-14
      • RI Conference-2013
      • NEPANS Supported Events
    • Speaker Bios
    • Support Groups
  • Get Involved
    • PANS PANDAS Awareness Day >
      • 2019 Awareness Day
      • 2017 Awareness Day
      • 2016 Awareness Day
      • 2015 Awareness Day
      • 2014 Awareness Day
      • 2013 Awareness Day
    • Spread Awareness
    • Legislative News >
      • CT Legislative News
      • MA Legislative News
      • NH Legislative News
  • NEPANS Blog