Dy Angel Belle Cheng, Tanchanco Lourdes Sumpaico
School of Medicine and Public Health, Ateneo de Manila University, Pasig City, Philippines.
MedMom Institute for Human Development, Pasig City, Philippines.
Front Psychiatry. 2019 Jun 26;10:450. doi: 10.3389/fpsyt.2019.00450. eCollection 2019.
Autism spectrum disorder (ASD) and achondroplasia are common disorders on their own. However, this case of co-occurrence in the same patient has not yet been reported in literature except for a hypothesized statistical probability based on prevalence studies stating that two to five in 10 million children could have the probability of having both conditions occurring simultaneously. Achondroplasia typically presents with motor delays and difficulties that are related to musculoskeletal impairments that can affect self-care, mobility, and social cognition; however, the presence of delays in other domains of development, particularly in social communication, raises a suspicion of a co-occurring autism spectrum disorder. The content of this report reviews the common delays and difficulties seen in children with achondroplasia and those with autism spectrum disorder and describes the presence of both in the child presented in this case.
自闭症谱系障碍(ASD)和软骨发育不全各自都是常见的病症。然而,除了基于患病率研究提出的一种假设统计概率外,同一患者同时患有这两种疾病的情况在文献中尚未有报道。该统计概率表明,每1000万儿童中有2至5人可能同时患有这两种疾病。软骨发育不全通常表现为与肌肉骨骼损伤相关的运动发育迟缓及困难,这些损伤会影响自我护理、行动能力和社会认知;然而,在其他发育领域出现发育迟缓,尤其是在社会沟通方面,会引发对同时存在自闭症谱系障碍的怀疑。本报告内容回顾了软骨发育不全患儿和自闭症谱系障碍患儿常见的发育迟缓和困难,并描述了本病例中患儿同时存在这两种情况。