This study will evaluate the use of intravenous immunoglobulins (IVIG) at a dose of 1g/Kg/body weight given every three weeks for 6 infusions in pediatric subjects ages 4 - 16 years with moderate to severe PANS. The study will compare biomarkers and behavioral scales before treatment, after the last infusion, 2 months, and at a minimum 6 months post-treatment.
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Change in Anxiety Disorders Interview Schedule for DSM-IV, Child, Parent Versions (ADIS)
Timeframe: Measurements at baseline, one week post treatment (19 weeks), and 6 + months post-treatment (43 + weeks)
Change in Children's Yale-Brown Obsessive Compulsive Scale (CY-BOCS)
Timeframe: Measurements at baseline, one week post treatment (19 weeks), and 6 + months post-treatment (43 + weeks)
Change in Yale Global Tic Severity Scale (YGTSS)
Timeframe: Measurements at baseline, one week post treatment (19 weeks), and 6 + months post-treatment (43 + weeks)
Change in Clinical Global Impressions (CGI)
Timeframe: Measurements at baseline, one week post treatment (19 weeks), and 6 + months post-treatment (43 + weeks)
Change in biomarkers levels
Timeframe: Measurements at baseline, one week post treatment (19 weeks), and 6 + months post-treatment (43 + weeks)