In this podcast, Dr John Harrington of Eastern Virginia Medical School and Dr Michael Paul and Rena Vanzo of Lineagen discuss genetic testing for autism spectrum disorders and genetic counseling. … Read More
The recent research on prevalence rates mirrors what many of us on the frontlines have known for several years now: more children than ever are receiving a diagnosis on the ever-widening autism spectrum. … Read More
Pediatricians can help guide the families of children with an autism spectrum disorder through the maze of interventions, toward the goal of optimizing these children's potential for a productive, independent, brighter future. … Read More
A 4-year-old boy with a history of autism presents to his pediatrician's office with a complaint of right leg pain. He is presumed to have pulled a muscle.… Read More
Autism Diagnosis in Younger Kids Holds Up Over Time
Reviewed by Rubeen K. Israni, M.D., Fellow, Renal-Electrolyte and Hypertension Division, University of Pennsylvania School of Medicine |
June 5, 2006
- Explain to concerned parents that the diagnosis of autism is made based on a combination of standardized tests, parental interviews, and observational studies rather than clinical findings.
- Be aware that a diagnosis in a two-year-old child of pervasive developmental disorder not otherwise specified may not preclude a future diagnosis of autism.
ANN ARBOR, Mich., June 5 ? A diagnosis of autism in a two-year old child stands a pretty good chance of holding up when that child is nine, according to researchers here.
On the other hand, a two-year-old diagnosed with pervasive developmental disorder not otherwise specified (PDD-NOS) is more likely to be re-classified as having autism or another disorder seven years down the road, according to Catherine Lord, Ph.D., and colleagues in North Carolina, England, and Israel.
Getting the early diagnosis right may be important for researchers developing therapies for autism, and for educators developing early intervention programs targeted at the social, behavioral and adaptive deficits of children with autism, the authors suggested in the June issue of the Archives of General Psychiatry.
"Several intervention projects reported diagnostic changes and extraordinary levels of improvement in a substantial minority of young children with autism," the investigators wrote. "Other reports found little diagnostic change and fewer marked improvements. Possible explanations for these conflicting results are diagnostic instability or the lack of age-appropriate diagnostic criteria for very young children."
DR HARRINGTON ON AUTISM
Transition to Adulthood for Youths With Autism and the Need to Advocate an Early Start
April 6, 2011
The recent article in Archives of Pediatrics & Adolescent Medicine by Shattuck and colleagues should act as a wakeup call to all policymakers about the use of resources for families with disabilities. The transition from being a dependent adolescent with autism to an independent adult requires a major financial and social investment from schools, families, and entire communities.
Genetic Testing for Autism: What Can Be Done, How Helpful Is It?
January 26, 2011
In this podcast, Dr John Harrington of Eastern Virginia Medical School and Children’s Hospital of The King’s Daughters, and Dr Michael Paul, CEO and Rena Vanzo, Genetic Counselor of Lineagen—provider of a new integrated genetic testing and counseling service FirstStepDx—discuss the diagnosis of autism and genetic testing for autism.
Autism Spectrum Disorders: What to Make of the Latest Statistics?
February 12, 2010
Two recent reports, one conducted by the Health Resource and Service Administration (HRSA) and a second from the CDC, now estimate that the current prevalence of autism spectrum disorders (ASDs) in children born in the United States has risen from 1:150 to around 1:100. The HRSA report was based on a telephone survey of 78,037 parents involved in the 2007 National Survey of Children's Health. However, for its study, the CDC used a rigorous identification and confirmation system called the Autism and Developmental Disabilities Monitoring Network, which cross-references educational and health data in 11 states.
Vaccines, the Public Trust, and the Importance of the Medical Home
November 1, 2008
I thoroughly enjoyed the articles "Anti-Vaccine Media: Its Impact-and Strategies to Combat It" by Linda Nield, MD, and "Vaccinations: Immunizations Do Not Cause Autism Spectrum Disorder . . . They Prevent Disease" by Golder Wilson, MD, PhD, and Miranda Ramirez, MD (both of which appeared in the Special Issue on Vaccines that accompanied the September 2008 issue of CONSULTANT FOR PEDIATRICIANS).
August 1, 2008
The easiest way to explain what "people-first" language is might be to examine what it is not. We can do this by considering commonly accepted uses of titles that we may hear every day-usages such as "Coach Pat" or "Doctor Bob."
FROM PHYSICIANS PRACTICE
How Physicians Can Manage Unexpected Free Time Jennifer Frank, MD,
October 22, 2013
Whether you have an unexpected patient no-show, or two hours before bed, figuring out how to spend spurts of free time can be a work-life balance stressor.
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