Tajima-Pozo Kazuhiro, Zambrano-Enriquez Diana, De Anta Laura, Zelmanova Julie, De Dios Vega Jose Luis, Lopez-Ibor Juan Jose
Hospital Clinico San Carlos, Psychiatry, Madrid, Spain.
BMJ Case Rep. 2010 May 6;2010:bcr10.2009.2351. doi: 10.1136/bcr.10.2009.2351.
The case of a 5-year-old child diagnosed as having pervasive developmental disorder (PDD), autistic type, from age 1 is reported. After surgery of vegetation in middle ear for repetitive otitis, the child presented an improvement in autistic behaviours, previously expressed as impaired social interactions, qualitative abnormalities in communication, a marked delay in language development, echolalia, stereotypies and self-aggressive behaviours. The aim of this paper is to bring attention to occurrences of misdiagnosis of PDD, which can occur when an adequate screening of the autistic syndrome is not realised. The result of the surgery was an improvement in autistic behaviours, despite the persistence of less severe autistic traits that may be more closely related to Asperger's syndrome.
报告了一名5岁儿童的病例，该儿童自1岁起被诊断为广泛性发育障碍（PDD），自闭症类型。在因反复中耳炎进行中耳赘生物手术后，该儿童的自闭症行为有所改善，此前表现为社交互动受损、沟通存在质性异常、语言发育明显延迟、模仿言语、刻板行为和自我攻击行为。本文旨在引起对PDD误诊情况的关注，当未对自闭症综合征进行充分筛查时可能会发生误诊。手术结果是自闭症行为有所改善，尽管仍存在不太严重的自闭症特征，这些特征可能与阿斯伯格综合征关系更密切。
