Evidence map›Paper›PMID 37894207›Full record

ReviewMicroorganisms2023

Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections (PANDAS): Myth or Reality? The State of the Art on a Controversial Disease.

Saverio La Bella, Giovanna Scorrano, Marta Rinaldi, Armando Di Ludovico, Francesca Mainieri, Marina Attanasi, Alberto Spalice, Francesco Chiarelli, Luciana Breda

Open access · goldAbstract readReview
In one paragraph

Review in Microorganisms, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
6.3field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 20 citations in OpenAlex.

  1. Review
  2. Review
  3. Infectious diseases and childhood disruptive behavior disorders: a reappraisal.Frontiers in cellular and infection microbiology · 2026
    Article
  4. Article
  5. Observational
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 2 countries.

Saverio La BellaDepartment of Pediatrics, "G. D'Annunzio" University of Chieti-Pescara, 66100 Chieti, Italy.ORCID 0000-0002-1244-0789
Giovanna ScorranoDepartment of Pediatrics, "G. D'Annunzio" University of Chieti-Pescara, 66100 Chieti, Italy.
Marta RinaldiDepartment of Pediatrics, Buckinghamshire Healthcare NHS Trust, Aylesbury-Thames Valley Deanery, Aylesbury HP21 8AL, UK.ORCID 0000-0002-3795-7063
Armando Di LudovicoDepartment of Pediatrics, "G. D'Annunzio" University of Chieti-Pescara, 66100 Chieti, Italy.ORCID 0000-0002-2644-1475
Francesca MainieriDepartment of Pediatrics, "G. D'Annunzio" University of Chieti-Pescara, 66100 Chieti, Italy.ORCID 0000-0002-3911-1256
Marina AttanasiDepartment of Pediatrics, "G. D'Annunzio" University of Chieti-Pescara, 66100 Chieti, Italy.
Alberto SpaliceChild Neurology Division, Department of Pediatrics, "Sapienza" University of Rome, 00185 Rome, Italy.
Francesco ChiarelliDepartment of Pediatrics, "G. D'Annunzio" University of Chieti-Pescara, 66100 Chieti, Italy.
Luciana BredaDepartment of Pediatrics, "G. D'Annunzio" University of Chieti-Pescara, 66100 Chieti, Italy.
University of Chieti-Pescara · ITBuckinghamshire Healthcare NHS Trust · GBSapienza University of Rome · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections (PANDAS) syndrome is one of the most controversial diseases in pediatric rheumatology. Despite first being described more than 25 years ago as the sudden and rapid onset of obsessive-compulsive disorder (OCD) and/or tic disorder symptoms as complications of a Group A beta-hemolytic Streptococcus (GAS) infection, precise epidemiological data are still lacking, and there are no strong recommendations for its treatment. Recent advances in the comprehension of PANDAS pathophysiology are largely attributable to animal model studies and the understanding of the roles of Ca++/calmodulin-dependent protein kinase (CaM kinase) II, disrupted dopamine release in the basal ganglia, and striatal cholinergic interneurons. The diagnosis of PANDAS should be made after an exclusion process and should include prepubescent children with a sudden onset of OCD and/or a tic disorder, with a relapsing/remitting disease course, a clear temporal association between GAS infection and onset or exacerbation of symptoms, and the association with other neurological abnormalities such as motoric hyperactivity and choreiform movements. Antibiotic medications are the primary therapeutic modality. Nonetheless, there is a paucity of randomized studies and validated data, resulting in a scarcity of solid recommendations.

Indexed as

CaM kinasemolecular mimicryneuropsychiatric disorderobsessive–compulsive disorderPANDASPANDAS syndromePediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infectionsstreptococcal infectionstreptococcistriatal cholinergic interneurons

Identifiers

PMID37894207
PMCPMC10609001
OpenAlexW4387607773

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.