Otistik belirtilerle başvuran iki çocukta farklı klinik seyir ve bozukluklar: Olgu sunumu

Yaygın gelişimsel bozukluklar erken çocuklukta başlamakta ve yaşam boyu süren önemli belirtilere neden olmaktadır. Erken çocukluk döneminde otistik belirtiler görüldüğünde ilk akla gelen; yaygın gelişimsel bozukluk spektrumu içinde yer alan tanılardan biridir. Ancak bazı olgularda takip sırasında tanı değişebilir ya da eşlik eden başka bir bozukluk tabloda öne geçebilir. Bu çalışmada; 21 aylıkken otistik bozukluk tanısı alan ve okul çağına geldiğinde otistik belirtilerinin düzelmesi ile birlikte dikkat eksikliği hiperaktivite bozukluğu belirtileri gösteren bir erkek olgu ve otistik bozukluk tanısı ile izlenirken, okul çağına geldiğinde hafif otistik belirtilerin yanı sıra belirgin obsesyon ve tikleri olan bir kız olgu aktarılmıştır.

Different prognosis of pervasive developmental disorders

Pervasive developmental disorders appear every early in child-hood and cause life-long significant symptoms. When autistic symptoms are present in the early childhood, the first diagnoses to be considered is one of the disorders classified usually in the autistic spectrum disorders. However, the diagnosis of some cases may change during follow-up or a comorbid condition maysupercede the clinical picture. In this report, we present a boy who was diagnosed with autistic disorder at 21 mounts of age and showed attention deficit hyperactivity disorder symptoms and has shown no autistic symptoms at school age; and a girl who was followed up with mild autistic symptoms and developed significant obsession and tics at school age.

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