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Autism in Saudi Arabia: presentation, clinical correlates and comorbidity
Saleh M Al-Salehi1, Elham H Al-Hifthy, Mohammad Ghaziuddin
1King Fahd Medical City Hospital, Riyadh, Suadi, Arabia.
Insights
This study details the clinical features of 49 children diagnosed with autistic spectrum disorder in Saudi Arabia. Findings highlight differences in referral age between genders and associated medical conditions in this population.
Area of Science:
- Neurodevelopmental Disorders
- Pediatric Neurology
- Global Health
Background:
- Autism Spectrum Disorder (ASD) is a global health concern, yet its characteristics in developing nations like Saudi Arabia remain under-researched.
- Understanding ASD presentation in diverse cultural and socioeconomic contexts is crucial for accurate diagnosis and intervention.
Purpose of the Study:
- To describe the reasons for referral and clinical profiles of children diagnosed with ASD at a tertiary center in Saudi Arabia.
- To identify demographic and clinical characteristics of pediatric ASD cases within the Saudi population.
Main Methods:
- Diagnosis of ASD was based on DSM-IV criteria.
- Data collection involved parent and child interviews, standardized rating scales, and review of medical and educational records.
- A sample of 49 children (37 males, 12 females) was analyzed.
Main Results:
- Females with ASD were significantly older at the time of referral compared to males.
- Co-occurring conditions included seizure disorders (11 patients) and a chromosome abnormality (1 patient).
- Psychotropic medication use was noted in 25 patients, and 14 children were products of consanguineous marriages.
Conclusions:
- The findings provide essential data on ASD presentation in Saudi Arabia, highlighting specific demographic and clinical patterns.
- These insights are vital for tailoring diagnostic approaches and therapeutic strategies for ASD in the region.
- Further research is warranted to explore the implications of consanguinity and other factors on ASD in this population.
Abstract:
Although autism is a global disorder, relatively little is known about its presentation and occurrence in many developing countries, such as Saudi Arabia. This article describes the reasons for referral and clinical characteristics of a sample of 49 children (37 males and 12 females) diagnosed with an autistic spectrum disorder at a tertiary referral center in Saudi Arabia. The diagnosis of autism was based on DSM-IV criteria supplemented by information obtained from parent and child interviews, rating scales, and examination of school and hospital records. Females were older than males at the time of referral. Eleven patients had a history of seizure disorder and one patient had a chromosome abnormality. Twenty-five patients were taking psychotropic medications and 14 patients were the product of consanguineous marriages. Clinical and research implications of these findings are discussed.
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