一名患有自闭症谱系障碍儿童的致残性维生素C缺乏症病例带来的早期识别与治疗经验教训。
Lessons in early identification and treatment from a case of disabling vitamin C deficiency in a child with autism spectrum disorder.
作者信息
Rafee Yaseen, Burrell Katherine, Cederna-Meko Crystal
机构信息
1 Hurley Medical Center, College of Human Medicine, Michigan State University, East Lansing, MI, USA.
出版信息
Int J Psychiatry Med. 2019 Jan;54(1):64-73. doi: 10.1177/0091217418791443. Epub 2018 Aug 4.
BACKGROUND
Autism spectrum disorder is a heterogenous neurodevelopmental condition accompanied by a variety of associated features. Case reports suggest one such associated feature, food selectivity, increases risk for nutritional deficiencies; however, little attention has been given to prevent and treat nutritional deficiencies in youth with autism spectrum disorder.
METHOD
Single case report.
RESULTS
This single case report presents a child with autism spectrum disorder and food selectivity difficulties that resulted in severe vitamin C deficiency. Although eventually corrected, the nutritional deficiency was debilitating, required invasive interventions, and resulted in significant social/emotional and economic costs.
CONCLUSIONS
We review the course of treatment and highlight strategies to prevent and more effectively treat nutritional deficiencies in youth with autism spectrum disorder.
背景
自闭症谱系障碍是一种异质性神经发育疾病，伴有多种相关特征。病例报告表明，食物选择性这一相关特征会增加营养缺乏的风险；然而，对于自闭症谱系障碍青少年营养缺乏的预防和治疗却很少受到关注。
方法
单病例报告。
结果
本单病例报告介绍了一名患有自闭症谱系障碍且存在食物选择性困难的儿童，该情况导致了严重的维生素C缺乏。尽管最终得到了纠正，但营养缺乏状况使人虚弱，需要进行侵入性干预，并造成了重大的社会/情感和经济成本。
结论
我们回顾了治疗过程，并强调了预防和更有效治疗自闭症谱系障碍青少年营养缺乏的策略。
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