SARS-CoV-2 related Paediatric Acute-onset Neuropsychiatric Syndrome

Piero Pavone, Manuela Ceccarelli, Silvia Marino, Daniela Caruso, Raffaele Falsaperla, Massimiliano Berretta, et al. Lancet Child Adolesc Health. 2021 . May 04, 2021 DOI:10.1016/S2352-4642(21)00135-8

“Post-infectious, autoimmune, and neuro-inflammatory events are the main mechanisms of Paediatric Acute-onset Neuropsychiatric Syndrome (PANS).4 PANS presents with a sudden onset of obsessive-compulsive disorder (OCD) or a severely restricted food intake, and concurrent neuropsychiatric symptoms and motor dysfunction.4 The estimated prevalence of OCD in childhood and adolescence is 0·25–4·00%, with those aged between 16–18 years (1%) having the highest prevalence.5, 6, 7 Here, we report on two unrelated children with PANS that started 2 weeks after a positive COVID-19 nasopharyngeal swab.”

  • Two young adolescents Diagnosed with COVID-19 by a nasal swab
  • PANS started 2 weeks after COVID-19 diagnosis
  • Had acute new OCD, neuropsychiatric, and motor dysfunction symptoms
  • SARS-CoV-2 needs to be acknowledged in the differential diagnosis of PANS

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