PANDA specialists say early antibiotic treatment is key. Reactions to strep infections after the age of 12 are rare. There is some speculation that PANDAS stops at the age of menses in females. However, low levels of OCD, tics, and anxiety could last for months, or in some cases, be permanent. Interviews with parents of children with the condition indicate that only about three percent continue to experience issues into adulthood, but studies are ongoing. Researchers theorize that the child's immune system will eventually develop the correct antibody response to strep.

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