Brief Report: An Unusual Manifestation of Diagnostic Overshadowing of Pervasive Developmental Disorder-Not Otherwise Specified: A Five Year Longitudinal Case Study
Brief Report: An Unusual Manifestation of Diagnostic Overshadowing of Pervasive Developmental Disorder-Not Otherwise Specified: A Five Year Longitudinal Case Study
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DOI：
10.1007/s10803-012-1691-9
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发表时间：
2013-06-01
影响因子：
3.9
通讯作者：
Shivashankar, N.
中科院分区：
文献类型：
--
作者：
Meera, S. S.;Kaipa, Ramesh;Shivashankar, N.
有交流障碍的儿童有一系列的共病。有时，其中一种合并症表现得如此强烈，以至于临床医生没有注意到原发性疾病。这种在存在残疾的情况下忽视共病性健康问题的倾向被称为诊断性遮蔽。这是对一个9岁女童进行的为期五年的随访研究。该儿童最初被诊断为患有分离焦虑障碍（SAD），但在随访过程中，她开始表现出广泛性发育障碍（PDD-NOS）的特征。本病例报告揭示了SAD的严重性，它掩盖了PDD-NOS。讨论了随访的重要性和多学科团队对诊断遮蔽现象敏感的必要性。
Children with communication disorders present with a range of comorbid conditions. Occasionally one of the comorbid conditions manifests so strongly that the primary condition goes unnoticed by the clinician. This tendency to overlook comorbid health problems in the presence of a disability is referred to as diagnostic overshadowing. This is a five-year follow up case study of a 9-year-old female child. The child was initially diagnosed to have Separation Anxiety Disorder (SAD), but during the course of follow up she began to exhibit features of pervasive developmental disorder-not otherwise specified (PDD-NOS). This case report throws light on the severity of SAD which overshadowed PDD-NOS. Importance of follow-up and the need for a multidisciplinary team to be sensitive to the phenomenon of diagnostic overshadowing is discussed.