Clinical guidance for diagnosis and management of suspected Pediatric Acute‐onset Neuropsychiatric Syndrome in the Nordic countries

• Published in: Acta Paediatrica Vol. 110; no. 12; pp. 3153 - 3160
• Main Authors: Pfeiffer, Helle Cecilie Viekilde, Wickstrom, Ronny, Skov, Liselotte, Sørensen, Camilla Birgitte, Sandvig, Inger, Gjone, Inger Helene, Ygberg, Sofia, Visscher, Caroline, Idring Nordstrom, Selma, Herner, Linn Breen, Hesselmark, Eva, Hedderly, Tammy, Lim, Ming, Debes, Nanette Marinette
• Format: Journal Article
• Language: English
• Published: Norway Wiley Subscription Services, Inc 01-12-2021
• Subjects: acute; Autoimmune Diseases; Child; Children; Collaboration; Diagnosis; Humans; Medicin och hälsovetenskap; neuropsychiatric; Obsessive-Compulsive Disorder; Patients; pediatric; Pediatrics; recommendations; Scandinavian and Nordic Countries; Sweden; syndrome; Sweden; Scandinavian and Nordic Countries; United Kingdom > UK; acute; syndrome; recommendations; neuropsychiatric; pediatric
• ISSN: 0803-5253; 1651-2227; 1651-2227
• DOI: 10.1111/apa.15875

Pediatric acute‐onset neuropsychiatric syndrome is a clinical concept used to describe a subgroup of children with sudden onset of psychiatric and somatic symptoms. The diagnostic term and especially management of children differs depending on the clinical setting to which they present, and the diagnosis and management is controversial. The aim of this paper is to propose a clinical guidance including homogenous diagnostic work‐up and management of paediatric acute onset neuropsychiatric syndrome within the Nordic countries. The guidance is authored by a Nordic‐UK working group consisting of paediatric neurologist, child psychiatrists and psychologists from Denmark, Norway, Sweden and Great Britain, and is the result of broad consensus.
Conclusion
Consensus was achieved in the collaboration on work‐up and treatment of patients with paediatric acute‐onset neuropsychiatric syndrome, which we hope will improve and homogenise patient care and enable future collaborative research in the field.