For example, you should not apply heat to a new injury that might be swollen or bruised. The heat will simply cause additional swelling and ice would be a better solution. The accepted rule is to use ice for the first two days following an injury, after which you can then apply heat safely.
Updated PANDAS signs and symptoms. (1) Pediatric onset. The first symptoms of PANDAS are most likely to occur between 5 and 7 years of age. Symptoms can occur as early as 18 months of age or as late as 10 years of age. If the first clinically recognized episode is detected after the age of 10, it is unlikely true initial episode, but the recurrent one.
Thus, PANDAS was defined as a pre-pubertal disorder but can occur through and after puberty. (Dr. Swedo says) Please note: PANS (Pediatric Acute-onset Neuropsychiatric Syndrome) criteria use a less restrictive term of âpediatric onset,â which is variously defined as before age 18 years or age 21 years.