Dr. Adame's Diagnostic Approach to PANDAS/PANS

All healing journeys start with an accurate diagnosis.

Dr. Adame's Diagnostic Steps

• Thorough review of previous medical records, lab work, diagnostic testing.

• This process can take 2-4 weeks

• Review responses to our in-depth intake forms.

• Extensive initial lab work including but not limited to:

• Infectious Triggers

• ASO and anti-DNAseB (Strep titers)

• Mycoplasma

• Lyme

• Other Tick-borne Illness

• EBV

• Bartonella

• Micronutrient Levels

• B12

• Folate

• Ferritin (Iron in the Tissues)

• Iron Panel

• Vitamin D

• Allergy Blood Testing

• Environmental/Respiratory Allergy Panel including Mold

• Food Allergy Panel

• Screens for Related, Exacerbating, or Mimicking Conditions

• MTHFR

• Homocysteine

• Celiac

• Thyroid

• Autoimmune

• Rheumatoid Factor

• ANA

• c-Reactive Protein

• Erythrocyte Sedimentation Rate

• Immune Deficiency

• Immunoglobulins IgG, IgA, IgM, IgE

• IgG Subclasses 1-4

• Dr. Adame sends the order to the lab of your choice and you can use your insurance for these standard labs.

• Additional Optional Labs (may not be covered by insurance)

• Whole Genome Sequencing Genetic Testing through Baylor Genetics

• FRAT testing if indicated or requested by family

As always, algorithms and protocols are starting points. Dr. Adame and her team meet patients and their families where they are in their journey, whether the child's symptoms started just weeks earlier or they have already received the entire PANDAS protocol including IVIG. She will adjust the diagnostic strategy depending on previous work up completed, history, and treatment goals.

Dr. Adame believes in shared decision-making with families.

Are you ready to join the Culver Peds PANDAS/PANS Clinic? The first step is to register for a group info session to determine if we are the right practice for your child.

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