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Autism spectrum disorder in a child with propionic acidemia
M Al-Owain1, N Kaya, H Al-Shamrani
1Department of Medical Genetics, King Faisal Specialist Hospital and Research Centre, 3354, Riyadh, 11211, Saudi Arabia, alowain@kfshrc.edu.sa.
Insights
This report details autism in a child with propionic acidemia, a metabolic disorder. Early autism diagnosis in metabolic conditions aids crucial behavioral support.
Area of Science:
- Neurodevelopmental Disorders
- Metabolic Disorders
- Pediatric Health
Background:
- Autism Spectrum Disorder (ASD) is a neurodevelopmental condition impacting social interaction and communication.
- While often idiopathic, ASD is associated with medical conditions in 10% of cases.
- Metabolic disorders are an uncommon but reported comorbidity with autism.
Purpose of the Study:
- To report a case of autism in a child diagnosed with propionic acidemia (PA).
- To highlight the importance of early autism diagnosis in children with metabolic disorders.
Main Methods:
- Case report of a 7-year-old girl.
- Clinical observation and diagnosis of autism and propionic acidemia.
Main Results:
- Autism was identified in a 7-year-old girl with propionic acidemia.
- Propionic acidemia is an organic aciduria linked to propionyl-CoA carboxylase deficiency, causing metabolic acidosis and hyperammonemia.
Conclusions:
- Autism can co-occur with metabolic disorders like propionic acidemia.
- Early identification of autistic features in children with metabolic disorders is crucial for accessing necessary behavioral services.
Abstract:
Autism is a neurodevelopmental disorder characterized by a combination of reciprocal social deficits, communication impairment, and rigid ritualistic interests. While autism does not have an identifying cause in most of the cases, it is associated with known medical conditions in at least 10% of cases. Although uncommon, cases of autism have also been reported in association with metabolic disorders. In this brief report, we describe the occurrence of autism in a 7-year-old girl with propionic acidemia (PA), a common form of organic aciduria resulting from the deficiency of propionyl-CoA carboxylase and characterized by frequent and potentially lethal episodes of metabolic acidosis often accompanied by hyperammonemia. It is particularly common in countries with high rates of consanguinity. Early diagnosis of autism in patients with metabolic disorders is important since autistic features are sometimes the most disruptive of all the child's problems. This facilitates providing the needed behavioral services not otherwise available for children with metabolic disorders.
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