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[Obsessive-compulsive disorders in children. Subtypes of OCD and their relation to infection with group A streptococci].
- Source :
-
Ugeskrift for laeger [Ugeskr Laeger] 2002 Aug 05; Vol. 164 (32), pp. 3763-7. - Publication Year :
- 2002
-
Abstract
- The present review describes the theory of a spectrum of obsessive-compulsive disorders (OCD). This spectrum includes such disorders as trichotillomania, eating disorders, body dysmorphic disorder, and possibly pervasive developmental disorders. OCD with an onset in childhood is presented as a specific subtype, with more boys affected and frequently co-morbid with tics and Tourette's syndrome. Furthermore, it seems to be more genetically determined and have more significant deviations, as measured by neuro-imaging studies, than has OCD with an adult onset. The PANDAS theory (paediatric autoimmune neuropsychiatric disorder associated with streptococcal infections) is described. This subtype of OCD is, still on a speculative basis, connected to infections with beta-haemolytic streptococci. The obsessive-compulsive symptoms are characterised by a sudden onset, "sawtoothed" course with relapses and remissions, and are associated with neurological abnormalities. There are still no clinical consequences in terms of penicillin treatment of this PANDAS subtype of OCD.
- Subjects :
- Adolescent
Adult
Autoimmune Diseases diagnosis
Autoimmune Diseases immunology
Autoimmunity
Child
Developmental Disabilities diagnosis
Developmental Disabilities immunology
Developmental Disabilities microbiology
Feeding and Eating Disorders diagnosis
Feeding and Eating Disorders immunology
Feeding and Eating Disorders microbiology
Female
Humans
Male
Obsessive-Compulsive Disorder diagnosis
Obsessive-Compulsive Disorder immunology
Recurrence
Streptococcal Infections immunology
Trichotillomania diagnosis
Trichotillomania immunology
Trichotillomania microbiology
Autoimmune Diseases microbiology
Obsessive-Compulsive Disorder microbiology
Streptococcal Infections complications
Streptococcus pyogenes immunology
Subjects
Details
- Language :
- Danish
- ISSN :
- 0041-5782
- Volume :
- 164
- Issue :
- 32
- Database :
- MEDLINE
- Journal :
- Ugeskrift for laeger
- Publication Type :
- Academic Journal
- Accession number :
- 12362609