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Updated: Jun 27, 2025

A Treatment Package without Escape Extinction to Address Food Selectivity
Published on: August 21, 2015
An adolescent case of ASXL3-related disorder with delayed onset of feeding difficulty
Yuto Arai1, Tohru Okanishi2, Tetsuya Okazaki3
1Division of Child Neurology, Department of Brain and Neurosciences, Faculty of Medicine, Tottori University, 36-1 Nishi-Cho, Yonago, 683-8504, Tottori, Japan.
Insights
This study reports the first adolescent case of ASXL3-related disorder, presenting with feeding difficulties. Avoidant/restrictive food intake disorder (ARFID) was suspected as the cause.
Area of Science:
- Genetics
- Pediatrics
- Neurology
Background:
- ASXL3-related disorder is a rare genetic condition with autosomal dominant inheritance.
- Characterized by neurodevelopmental delay and limited speech, feeding difficulties are common in infancy.
- No adolescent cases of ASXL3-related disorder have been previously documented.
Background:
ASXL3-related disorder, first described in 2013, is a genetic disorder with an autosomal dominant inheritance that is caused by a heterozygous loss-of-function variant in ASXL3. The most characteristic feature is neurodevelopmental delay with consistently limited speech. Feeding difficulty is a main symptom observed in infancy. However, no adolescent case has been reported.
Case Presentation:
A 14-year-old girl with ASXL3-related syndrome was referred to our hospital with subacute onset of emotional lability. Limbic encephalitis was ruled out by examination; however, the patient gradually showed a lack of interest in eating, with decreased diet volume. Consequently, she experienced significant weight loss. She experienced no symptoms of bulimia, or food allergy; therefore, avoidant/restrictive food intake disorder (ARFID) was clinically suspected.
Conclusions:
We reported the first case of ASXL3-related disorder with adolescent onset of feeding difficulty. ARFID was considered a cause of the feeding difficulty.
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