在达恩综合征回归障碍的上升工作中的替代诊断
Jonathan D Santoro1,2,3, Mellad M Khoshnood4, Lina Nguyen4
1Division of Neuroimmunology, Children's Hospital Los Angeles, Los Angeles, CA, USA. jdsantoro@chla.usc.edu.
Journal of autism and developmental disorders
|August 16, 2023
概括
20%的因唐氏综合征回归障碍 (DSRD) 转诊的个人接受了替代诊断,最常见的是自闭症谱系障碍. 这凸显了需要进行全面的神经诊断评估以确定可治疗的疾病的需要.
科学领域:
- 神经发育障碍 神经发育障碍
- 儿科神经学 儿科神经学
- 遗传学 遗传学是一种遗传学.
背景情况:
- 唐氏综合征回归障碍 (DSRD) 是一种原因不明的排斥诊断.
- 建议的病因包括精神病和神经免疫学因素.
- 从临床上来说,将DSRD与其他疾病区分开来是具有挑战性的.
研究的目的:
- 对因DSRD而被提及的个体进行非DSRD诊断的审查.
- 为了比较DSRD和非DSRD组之间的临床特征.
- 确定有助于对唐氏综合征发育回归的差异诊断的因素.
主要方法:
- 一个中心的回顾性图表审查.
- 包括被提请进行DSRD评估的个人.
- 确认的DSRD与替代诊断之间的临床特征的比较.
主要成果:
- 20%的转诊者 (54/266) 接受了其他诊断.
- DSRD组的症状发作时间较短,达到最低点,并且有更多的先前触发因素.
- 非DSRD组更有可能过早生育,有史以来的,不太可能发生细胞因子异常或.
- 自闭症谱系障碍是最常见的替代诊断 (76%).
结论:
- 显著比例的DSRD转诊有替代诊断.
- 自闭症谱系障碍是一个频繁的替代诊断.
- 彻底的神经诊断评估对于识别DSRD和罕见的可治疗疾病至关重要.
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