PANS Case Report. Assessment and management implications for a Liaison Child Psychiatry Program

Introduction Pediatric acute-onset neuropsychiatric syndrome (PANS) was described in 2010 not related to streptococcus infection (as PANDAS is), and with a clinically distinct presentation, defined as: I) Abrupt, dramatic onset of obsessive-compulsive disorder or severely restricted food intake; II) Concurrent presence additional symptoms; III) Symptoms are better explained by known neurologic medical disorder. Objectives To describe the clinical features scholar boy who suffered an abrupt highlight need specific psychiatric assessment management from multidisciplinary perspective. Methods Clinical case: A 7-year-old brought emergency department due his repetitive hyperactive behavior. After admission hospital history identified PANS diagnostic criteria. He presented language ritualized behavior, emotional lability hyperactivity that has begun manner last 5 days. Family history, physical examination, infectious disease evaluation, neurological child were carried out during hospitalization. Coordination between neuropediatric consultant psychiatry necessary. Results Combinated treatment, psychofarmacologic psychotherapeutic, effective symptoms disapeared gradually about three months. Conclusions In all school-age presenting eating disorders possible link should be evaluated rule out. It is important Liaison Child Psychiatry program for complete evaluation these patients. Disclosure Interest None Declared