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When Joan McCullough’s daughter was 8 years old, she developed a motor tic involving her fingers.

The Wilton mom noticed the involuntary movement was similar to that of her friend’s son, who had been diagnosed two years earlier with PANDAS — pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections.

Though McCullough had been a registered nurse for more than 20 years, this was her first time hearing about the disorder that describes children and adolescents who have obsessive compulsive disorder and/or tic disorders with severe accompanying symptoms — like anxiety, concentration problems and severely restricted food intake — that worsen as a result of untreated strep infections such as strep throat.

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