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One night in December 2013, Hans Korbmacher awoke in a fury. The book-loving, introverted 10-year-old was feverish, agitated and gnawing on his tongue. He headed downstairs, leaped onto an ottoman and threw his hands over his head, startling his parents. He was “clearly not present,” says his mother, Heather Korbmacher.

Several doctors’ appointments later, a psychiatrist suggested that Hans’ symptoms stemmed from obsessive-compulsive disorder, or OCD. The diagnosis seemed off base to Korbmacher until she read online about a rare form of OCD with a mouthful of a name: pediatric autoimmune neuropsychiatric disorder associated with streptococcal infections, or PANDAS for short. Hans had all but one of the listed symptoms.

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