<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1139-7632</journal-id>
<journal-title><![CDATA[Pediatría Atención Primaria]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Pediatr Aten Primaria]]></abbrev-journal-title>
<issn>1139-7632</issn>
<publisher>
<publisher-name><![CDATA[Asociación Española de Pediatría de Atención Primaria]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1139-76322016000400020</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Trastorno neuropsiquiátrico: infrecuente pero posible]]></article-title>
<article-title xml:lang="en"><![CDATA[Neuropsychiatric disorder: uncommon but possible]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Suárez Rodríguez]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Muñoz Lozón]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Cenrto de Salud La Palomera  ]]></institution>
<addr-line><![CDATA[León ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Universitario de León Servicio de Pediatría ]]></institution>
<addr-line><![CDATA[León ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2016</year>
</pub-date>
<volume>18</volume>
<numero>72</numero>
<fpage>369</fpage>
<lpage>373</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1139-76322016000400020&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1139-76322016000400020&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1139-76322016000400020&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: Los trastornos neuropsiquiátricos son entidades clínicas difíciles de identificar y manejar en la población infantil. Alteraciones conductuales en el niño pueden ser vistas en contextos clínicos diversos y atribuirse a diferentes causas. Son procesos conocidos para el pediatra de Atención Primaria el trastorno de hiperactividad con déficit de atención y el trastorno obsesivo compulsivo (TOC), pero existen otros cuadros menos frecuentes, como el que se describe. El paciente presenta una alteración compatible con lo que se ha definido como síndrome neuropsiquiátrico autoinmune pediátrico asociado a la infección por estreptococo o pediatric autoimmune neuropsychiatric disorders associated with streptococccal infections (PANDAS). En el artículo se revisa esta entidad clínica. En la práctica hay pacientes con sintomatología superponible al PANDAS en los que no se demuestra la etiología autoinmune ni la infección por estreptococo. Para incluirlos se ha descrito un cuadro clínico denominado: trastorno neuropsiquiátrico agudo en la infancia y adolescencia o pediatric acute onset neuropsychiatric syndrome (PANS).]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: Neuropsychiatric diisorders are difficult to diagnose and treat in children. Behavioral disorders in children can be seen in several pathologies and they are attributed to different causes. There are disorders known by the Primary Care pediatrician, such as the attention-deficit/hyperactivity disorder and the obssesive-compulsive disorder, but there are other less common diseases, such as those described in this article. Our patient has a clinical picture compatible with what has been defined as pediatric autoinmune neuropsychiatric syndrome associated with streptococcal infection (PANDAS).]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Enfermedades autoinmunes]]></kwd>
<kwd lng="es"><![CDATA[Trastornos mentales pediátricos]]></kwd>
<kwd lng="es"><![CDATA[Infección estreptocócica]]></kwd>
<kwd lng="en"><![CDATA[Autoimmune diseases]]></kwd>
<kwd lng="en"><![CDATA[Child mental disorders]]></kwd>
<kwd lng="en"><![CDATA[Streptococcal infection]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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