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Hypothermia Associated With Melatonin Ingestion in a Child With Autism
1Department of Child and Adolescent Psychiatry, Necmettin Erbakan University Faculty of Medicine, Konya, Turkey.
Insights
Melatonin may pose a hypothermia risk in autistic children with sleep disorders. This case study highlights a significant body temperature drop after a single melatonin dose, emphasizing caution.
Area of Science:
- Neurodevelopmental Disorders
- Pediatric Sleep Medicine
Background:
- Autism spectrum disorder (ASD) is a neurodevelopmental condition affecting social interaction, communication, and behavior.
- Sleep disturbances are common in children diagnosed with ASD.
Observation:
- A case of hypothermia (body temperature 34°C) occurred in an autistic child after a single melatonin dose.
- The child experienced prolonged hypothermia for two days.
Findings:
- Melatonin administration led to a significant decrease in body temperature in an autistic child.
- Despite the hypothermia, the child's nighttime sleep problems improved.
Implications:
- This case highlights a potential risk of hypothermia associated with melatonin use in children with autism and sleep disorders.
- Clinicians should exercise caution when prescribing melatonin to this population.
- Further research is warranted to understand the safety profile of melatonin in pediatric ASD.
Abstract:
Autism spectrum disorder is a neurodevelopmental disorder characterized by social interaction and communication disorder and restrictive and repetitive behaviors. Sleep disorders are frequently observed in children with autism spectrum disorder. We present a case of hypothermia in an autistic child with a sleep disorder whose body temperature decreased to 34°C after a single dose of melatonin. Hypothermia continued for 2 more days, but her nighttime sleeping problems decreased. This case is important because it demonstrates the possible risk of hypothermia with melatonin use in children with autism with a sleep disorder.
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