Autism spectrum disorder and kidney disease.

Autism spectrum disorder and kidney disease.
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DOI:
10.1007/s00467-020-04875-y
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发表时间:
2021-10
期刊:
Pediatric nephrology (Berlin, Germany)
影响因子:
--
通讯作者:
Absoud M
Absoud M
中科院分区:
其他
文献类型:
--
作者:
Clothier J;Absoud M

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神经发育障碍已被认为是儿科肾脏疾病和膀胱功能障碍的主要关联,为临床医生和家庭提供合理的调整以允许获得调查和治疗提出了挑战。自闭症谱系障碍(ASD)是一种常见的神经发育障碍,其特征是社会互动/交流和重复感觉运动行为的障碍。心理健康、学习和身体共病是常见的。有新的证据表明,ASD和肾脏疾病与遗传拷贝数变异和环境因素有一些重叠,导致共同的发病机制。ASD在肾脏疾病中的患病率目前尚不清楚。当一个年轻人表现出沟通困难,焦虑或行为挑战时,需要高度怀疑潜在的ASD,然后应该触发转介进行神经发育和行为评估。我们讨论提供护理的实用方法,其中包括了解沟通方法以及感官,行为和环境适应。在线版本包含补充材料,可通过10.1007/s 00467 -020-04875-y获得。
Neurodevelopmental impairments have been recognised as a major association of paediatric kidney disease and bladder dysfunction, presenting challenges to clinicians and families to provide reasonable adjustments in order to allow access to investigations and treatments. Autism spectrum disorder (ASD) is a common neurodevelopmental disorder characterised by impairments in social interaction/communication and repetitive sensory-motor behaviours. Mental health, learning and physical co-morbidities are common. There is emerging evidence that ASD and kidney disease have some overlaps with genetic copy number variants and environmental factors contributing to shared pathogenesis. Prevalence rates of ASD in kidney disease are currently not known. A high index of suspicion of underlying ASD is required when a young person presents with communication difficulties, anxiety or behaviour that challenges, which should then trigger referral for a neurodevelopmental and behavioural assessment. We discuss practical approaches for providing care, which include understanding methods of communication and sensory, behavioural and environmental adaptations. The online version contains supplementary material available at 10.1007/s00467-020-04875-y.
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