{"id":656,"date":"2026-02-24T11:16:30","date_gmt":"2026-02-24T11:16:30","guid":{"rendered":"https:\/\/scaleup42.ca\/ncc\/?post_type=tests&#038;p=656"},"modified":"2026-03-30T14:01:46","modified_gmt":"2026-03-30T14:01:46","slug":"pandas-pans-pitands-testing","status":"publish","type":"tests","link":"https:\/\/scaleup42.ca\/ncc\/tests\/pandas-pans-pitands-testing\/","title":{"rendered":"PANDAS, PANS and PITAND Testing"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"656\" class=\"elementor elementor-656\">\n\t\t\t\t<div class=\"elementor-element elementor-element-24fca2c9 e-flex e-con-boxed e-con e-parent\" data-id=\"24fca2c9\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2745236d elementor-widget elementor-widget-heading\" data-id=\"2745236d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">PANDAS, PANS and PITAND<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ee1f477 elementor-align-center elementor-widget elementor-widget-button\" data-id=\"ee1f477\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/scaleup42.ca\/ncc\/contact-us\/\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Book A Free Discovery Call<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-3d9962ea e-flex e-con-boxed e-con e-parent\" data-id=\"3d9962ea\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-727599de e-grid e-con-boxed e-con e-child\" data-id=\"727599de\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-3b509783 e-con-full e-flex e-con e-child\" data-id=\"3b509783\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-44ae770b list-style-2 elementor-widget elementor-widget-text-editor\" data-id=\"44ae770b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>PANDAS is an abbreviation for pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections<\/p><p>PANS is a broader classification termed pediatric acute-onset neuropsychiatric syndrome that includes all cases of abrupt onset of symptoms, not linked to streptococcal infection<\/p><p>PITAND are infectious triggers of PANS including viruses, lyme, chicken pox and mycoplasma<\/p><p>Dr. Susan swedo has been investigating PANDAS since the 1990\u2019s and has identified a group of symptoms that are related to a \u201cstrong stimulant\u201d to the immune system such as viral or bacterial infection or exposure to environmental toxicants such as aluminum or pesticides.<\/p><p>Symptoms include:<\/p><ul><li>Abrupt onset<\/li><li>Dramatic symptoms that appear suddenly<\/li><li>OCD including obsessive thoughts and compulsive behaviours<\/li><li>Motor and vocal tics<\/li><li>Separation anxiety<\/li><li>Anxiety attacks<\/li><li>Irritability, aggression, rage<\/li><li>Extreme mood swings<\/li><li>Temper tantrums<\/li><li>Hyperactivity<\/li><li>Night wetting<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-61e04f6b elementor-widget elementor-widget-image\" data-id=\"61e04f6b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"700\" height=\"1000\" src=\"https:\/\/scaleup42.ca\/ncc\/wp-content\/uploads\/2026\/02\/Pitands-are-infectious.jpg\" class=\"attachment-full size-full wp-image-1205\" alt=\"\" srcset=\"https:\/\/scaleup42.ca\/ncc\/wp-content\/uploads\/2026\/02\/Pitands-are-infectious.jpg 700w, https:\/\/scaleup42.ca\/ncc\/wp-content\/uploads\/2026\/02\/Pitands-are-infectious-210x300.jpg 210w\" sizes=\"(max-width: 700px) 100vw, 700px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d2116a0 elementor-widget elementor-widget-button\" data-id=\"d2116a0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/scaleup42.ca\/ncc\/contact-us\/\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Book A Free Discovery Call<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-a1dc439 e-flex e-con-boxed e-con e-parent\" data-id=\"a1dc439\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-7a19986 e-grid e-con-boxed e-con e-child\" data-id=\"7a19986\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c00aa17 elementor-widget elementor-widget-image\" data-id=\"c00aa17\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"700\" height=\"1000\" src=\"https:\/\/scaleup42.ca\/ncc\/wp-content\/uploads\/2026\/02\/bacteria-medical.jpg\" class=\"attachment-full size-full wp-image-1175\" alt=\"\" srcset=\"https:\/\/scaleup42.ca\/ncc\/wp-content\/uploads\/2026\/02\/bacteria-medical.jpg 700w, https:\/\/scaleup42.ca\/ncc\/wp-content\/uploads\/2026\/02\/bacteria-medical-210x300.jpg 210w\" sizes=\"(max-width: 700px) 100vw, 700px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-06295fa e-con-full e-flex e-con e-child\" data-id=\"06295fa\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-86b271f list-style-2 elementor-widget elementor-widget-text-editor\" data-id=\"86b271f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>The strep bacteria is an \u201cancient organism\u201d, according to the NIHM, which survives via molecular mimicry. It hides from your child\u2019s immune system by mimicking molecules making them nearly identical to human cells found in the heart, joints, skin and brain. The closeness in appearance is confusing to immune system resulting in the autoimmune (attack of self) response. In the case of PANDAS, the body creates \u201canti-brain\u201d antibodies that trigger symptoms.<\/p><p>There are tens of thousands of microbes in our microbiome that could trigger immune responses in at risk children. We are also surrounded by a hundred thousand environmental toxins that have the capability of confusing the immune system, termed immunotoxins.<\/p><p>While \u201cfull blown\u201d, rapid onset PANDAS\/PANS\/PITAND is gaining acceptance, there are still many researcher and doctors who aren\u2019t aware of these disorders or do not believe they are disorders at all.<\/p><p>In clinical practice, while we do see increasing cases of diagnosable PANDAS\/PANS\/PITAND, the majority of patients are suffering from a less intense version of these disorders that we term \u201cmicro-PANDAS\u201d.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-79b3ebe elementor-widget elementor-widget-button\" data-id=\"79b3ebe\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/scaleup42.ca\/ncc\/contact-us\/\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Book A Free Discovery Call<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-7a58170 e-flex e-con-boxed e-con e-parent\" data-id=\"7a58170\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-47fa1fa e-grid e-con-boxed e-con e-child\" data-id=\"47fa1fa\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-8b524b1 e-con-full e-flex e-con e-child\" data-id=\"8b524b1\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-16cdf29 list-style-2 elementor-widget elementor-widget-text-editor\" data-id=\"16cdf29\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Micro-PANDAS can still have a massive impact on development, quality of life and stress on caregivers. Children with PANDAS can have significant behavioural concerns that are often diagnosed as something else like adhd, autism, oppositional defiant disorder, anxiety, ocd, sensory processing disorder, tourette syndrome or tic disorder.<\/p>\n<p>A microbial or toxin that triggers an autoimmune attack against the brain means that there is another variable. Pre-disposition to autoimmunity due to low glutathione is how we approach these disorders in a clinical setting. It isn\u2019t just the trigger, it is why the trigger was able to have such a profound impact. The answers likely lie in the complex interplay between genetic predisposition, environmental toxins and microbial imbalance. Much of what is described in the landmark cell danger response and immunoexcitotoxicity landmark papers explains the symptomology of PANDAS\/PANS\/PITAND<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2c867dd elementor-widget elementor-widget-button\" data-id=\"2c867dd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/scaleup42.ca\/ncc\/contact-us\/\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Book A Free Discovery Call<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1e34c71 elementor-widget elementor-widget-image\" data-id=\"1e34c71\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"1000\" height=\"640\" src=\"https:\/\/scaleup42.ca\/ncc\/wp-content\/uploads\/2026\/02\/child-behavioral-symptoms-infographic-new.jpg\" class=\"attachment-full size-full wp-image-1193\" alt=\"\" srcset=\"https:\/\/scaleup42.ca\/ncc\/wp-content\/uploads\/2026\/02\/child-behavioral-symptoms-infographic-new.jpg 1000w, https:\/\/scaleup42.ca\/ncc\/wp-content\/uploads\/2026\/02\/child-behavioral-symptoms-infographic-new-300x192.jpg 300w, https:\/\/scaleup42.ca\/ncc\/wp-content\/uploads\/2026\/02\/child-behavioral-symptoms-infographic-new-768x492.jpg 768w\" sizes=\"(max-width: 1000px) 100vw, 1000px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-200af91d e-grid shape-style-2 e-con-boxed e-con e-parent\" data-id=\"200af91d\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-57249e8f e-con-full e-flex e-con e-child\" data-id=\"57249e8f\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3ed8feb5 h-100 elementor-widget elementor-widget-image\" data-id=\"3ed8feb5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1000\" height=\"640\" src=\"https:\/\/scaleup42.ca\/ncc\/wp-content\/uploads\/2026\/02\/GI-microbiome-test-infographic-new.jpg\" class=\"attachment-full size-full wp-image-1201\" alt=\"\" srcset=\"https:\/\/scaleup42.ca\/ncc\/wp-content\/uploads\/2026\/02\/GI-microbiome-test-infographic-new.jpg 1000w, https:\/\/scaleup42.ca\/ncc\/wp-content\/uploads\/2026\/02\/GI-microbiome-test-infographic-new-300x192.jpg 300w, https:\/\/scaleup42.ca\/ncc\/wp-content\/uploads\/2026\/02\/GI-microbiome-test-infographic-new-768x492.jpg 768w\" sizes=\"(max-width: 1000px) 100vw, 1000px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-68f246d e-con-full e-flex e-con e-child\" data-id=\"68f246d\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1ed2dddb elementor-widget elementor-widget-heading\" data-id=\"1ed2dddb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Below are the links that help in PANDAS\/PANS\/PITAND:<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1161c9c list-style-1 elementor-widget elementor-widget-text-editor\" data-id=\"1161c9c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<ul><li>Gi-map stool test<\/li><li>Oat or organic acid test<\/li><li>Lyme Tests<\/li><li>Blood tests (anti-dnase, and antistreptolysin)<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"featured_media":0,"template":"","class_list":["post-656","tests","type-tests","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/scaleup42.ca\/ncc\/wp-json\/wp\/v2\/tests\/656","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/scaleup42.ca\/ncc\/wp-json\/wp\/v2\/tests"}],"about":[{"href":"https:\/\/scaleup42.ca\/ncc\/wp-json\/wp\/v2\/types\/tests"}],"version-history":[{"count":153,"href":"https:\/\/scaleup42.ca\/ncc\/wp-json\/wp\/v2\/tests\/656\/revisions"}],"predecessor-version":[{"id":2621,"href":"https:\/\/scaleup42.ca\/ncc\/wp-json\/wp\/v2\/tests\/656\/revisions\/2621"}],"wp:attachment":[{"href":"https:\/\/scaleup42.ca\/ncc\/wp-json\/wp\/v2\/media?parent=656"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}