Chronic pain in individuals with previously undiagnosed autistic spectrum disorders
Chronic pain in individuals with previously undiagnosed autistic spectrum disorders
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DOI：
10.1016/j.jpain.2004.04.004
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发表时间：
2004-06-01
期刊：
影响因子：
4
通讯作者：
Zeltzer, LK
中科院分区：
文献类型：
--
作者：
Bursch, B;Ingman, K;Zeltzer, LK
这篇文章的目的是通过描述2名具有可能的自闭症症状和体征的患者来提高临床医生的认识。自闭症谱系障碍是一种神经发育障碍，其特征是相互的社会交往技能或沟通技能受损和/或存在刻板印象的行为、兴趣和活动。疼痛可能是患有以前未诊断出的自闭症谱系障碍的个人的最初症状。两个案例介绍显示了一些指标，如报告的感觉异常、社交行为受损和不寻常的兴趣，这些指标应该会导致医生考虑转诊进行进一步评估。对自闭症或相关疾病的准确诊断可以使人们更好地了解患者疼痛的性质，以及更适当和有效的治疗策略。此外，这类患者可能会从治疗干预中受益，以改善整体功能和减少痛苦，从而减轻疼痛和其他症状。最后，自闭症研究可能会在神经生物学、慢性疼痛障碍的发展和治疗等主题上为疼痛研究人员提供信息。观点：疼痛专家可能对他们患者的自闭症谱系障碍(ASD)的体征和症状认识不足。对于具有特殊异常特征的患者，应考虑对ASD进行临床评估。鼓励对自闭症和疼痛的主题进行研究。(C)2004年，由美国疼痛协会提供。
The aim of this article is to heighten clinician awareness by describing 2 patients with signs and symptoms of a possible autistic disorder. Autistic spectrum disorders are neurodevelopmental disorders characterized by impairment in reciprocal social interaction skills or communication skills and/or by the presence of stereotyped behavior, interests, and activities. Pain can be the initial presenting symptom for individuals with a previously undiagnosed autistic spectrum disorder. Two case presentations show indicators, such as reported sensory abnormalities, impaired social behaviors, and unusual interests, that should lead the physician to consider a referral for further evaluation. An accurate diagnosis of autism or related disorder can lead to a greater understanding of the nature of the patient's pain, as well as to more appropriate and effective treatment strategies. In addition, such patients might benefit from therapeutic interventions to improve overall functioning and decrease distress and, consequently, to decrease pain and other symptoms. Finally, autism research might inform pain researchers on topics such as neurobiology, development, and treatment of chronic pain disorders.Perspective: Pain experts might be underrecognizing signs and symptoms of autistic spectrum disorders (ASDs) in their patients. Clinical evaluation for ASDs should be considered in patients with specific unusual characteristics. Research on the topic of ASDs and pain is encouraged. (C) 2004 by the American Pain Society.