Severe penile hair tourniquet syndrome with near amputation of the glans

2020 ◽  
pp. 205141582093946
Author(s):  
Justin Loloi ◽  
Darian Andreas ◽  
Jordan Gitlin
Keyword(s):  
Autism Spectrum Disorder ◽  
Foreign Body ◽  
Late Presentation ◽  
Autism Spectrum ◽  
High Index ◽  
Spectrum Disorder ◽  
Critical Importance ◽  
Vulnerable Patient ◽  
History Of ◽  
High Index Of Suspicion

Penile hair tourniquet syndrome is a rare phenomenon that classically affects boys during their first few years of life. We report a late presentation of an 8-year old nonverbal, severely autistic male with a several-month-long history of a progressing penile hair tourniquet. The persistence of this constricting band led to severe anatomic defects, including near amputation of the glans, with transection of the urethra creating a distal fistula, and erosion through the majority of the cavernosal bodies. Our case highlights the critical importance of vigilant care and high index of suspicion, particularly in vulnerable patient populations such as young boys with autism spectrum disorder. Urgent evaluation and removal of the offending foreign body is required, with use of sedation or anesthesia if necessary.

scholarly journals The dysregulation profile in preschoolers with and without a family history of autism spectrum disorder

2018 ◽  
Vol 60 (5) ◽  
pp. 516-523 ◽  
Author(s):  
Meghan Miller ◽  
Ana‐Maria Iosif ◽  
Gregory S. Young ◽  
Laura J. Bell ◽  
A.J. Schwichtenberg ◽  
...  
Keyword(s):  
Autism Spectrum Disorder ◽  
Family History ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
History Of ◽  
Dysregulation Profile

scholarly journals Motor atypicalities in infancy are associated with general developmental level at 2 years, but not autistic symptoms

Autism ◽  
2020 ◽  
Vol 24 (7) ◽  
pp. 1650-1663 ◽  
Author(s):  
Sheila Achermann ◽  
Pär Nyström ◽  
Sven Bölte ◽  
Terje Falck-Ytter
Keyword(s):  
Autism Spectrum Disorder ◽  
Motion Capture ◽  
Children With Autism ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Developmental Level ◽  
Infant Siblings ◽  
Motor Functioning ◽  
History Of ◽  
Autistic Symptoms

Atypical motor development has frequently been reported in infants at elevated likelihood for autism spectrum disorder. However, no previous study has used detailed motion capture technology to compare infant siblings of children with autism spectrum disorder and infant siblings with no familial history of autism spectrum disorder. We investigated reaching movements during an interceptive action task in 10-month-old infants using kinematic data with high spatiotemporal resolution. The results indicated that several measures were different in infants at elevated likelihood. However, longitudinal analyses revealed that while specific infant motor measures (e.g. number of movement units) were related to broad measures of general developmental level in toddlerhood, the associations with later autism spectrum disorder symptomatology were not significant. These findings confirm that some aspects of motor functioning are atypical in infants at elevated likelihood for autism spectrum disorder, but provide no support for the view that these issues are specifically linked to autism spectrum disorder symptoms, but may rather reflect neurodevelopment more generally. Lay abstract Atypicalities in motor functioning are often observed in later born infant siblings of children with autism spectrum disorder. The goal of our study was to investigate motor functioning in infants with and without familial history of autism spectrum disorder. Specifically, we investigated how infants catch a ball that is rolling toward them following a non-straight path, a task that requires both efficient planning and execution. Their performance was measured using detailed three-dimensional motion capture technology. We found that several early motor functioning measures were different in infants with an older autistic sibling compared to controls. However, these early motor measures were not related to autistic symptoms at the age of 2 years. Instead, we found that some of the early motor measures were related to their subsequent non-social, general development. The findings of our study help us understand motor functioning early in life and how motor functioning is related to other aspects of development.

scholarly journals Foreign body stone in oesophagus: a unique case

2015 ◽  
Vol 12 (2) ◽  
pp. 140-142 ◽  
Author(s):  
B P Sah ◽  
S T Chettri ◽  
J N. Prasad ◽  
P P Gupta ◽  
S P Shah ◽  
...  
Keyword(s):  
Foreign Body ◽  
High Risk ◽  
Rare Case ◽  
Mentally Retarded ◽  
Risk Groups ◽  
High Index ◽  
Common Occurrence ◽  
Unique Case ◽  
History Of ◽  
High Index Of Suspicion

Foreign body ingestion is a common occurrence in children and in specific high-risk  groups. It is usually diagnosed based on a history of ingestion given by the patient  or an observer. However, children and mentally retarded adults may be unable to  give an accurate history, and a high index of suspicion must be maintained in these  groups. We report a rare case of foreign body stone in an mentally retarded adult  which presented with drooling and impaired feeds, thence enabling for high index  for suspicion.  Health Renaissance 2014;12(2): pp: 140-142

scholarly journals A symptom-based approach to treatment of psychosis in autism spectrum disorder

BJPsych Open ◽  
2018 ◽  
Vol 4 (1) ◽  
pp. 1-4 ◽  
Author(s):  
Victoria Bell ◽  
Henry Dunne ◽  
Tharun Zacharia ◽  
Katrina Brooker ◽  
Sukhi Shergill
Keyword(s):  
Mental Health ◽  
Autism Spectrum Disorder ◽  
Conflict Of Interest ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Tertiary Level ◽  
Optimal Management ◽  
History Of

SummaryThe optimal management of autism with psychosis remains unclear. This report describes a 22-year-old man with autism and psychosis who was referred to a tertiary-level specialist psychosis service, following a 6-year history of deterioration in mental health starting around the time of sitting GCSE examinations and an episode of bullying at school. We describe the individualised symptom-based approach that was effective in his treatment.Declaration of interestThe authors declare no conflict of interest.

scholarly journals Addressing medical needs of adolescents and adults with autism spectrum disorders in a primary care setting

Autism ◽  
2017 ◽  
Vol 22 (1) ◽  
pp. 51-61 ◽  
Author(s):  
Youssra Saqr ◽  
Erika Braun ◽  
Kyle Porter ◽  
Debra Barnette ◽  
Christopher Hanks
Keyword(s):  
Autism Spectrum Disorder ◽  
Health Care Access ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Adults With Autism ◽  
Medical Needs ◽  
Medical Regimen ◽  
Care Access ◽  
Adolescents And Adults ◽  
History Of

Little has been reported about how to improve health care access and delivery for adolescents and adults with autism spectrum disorder. To understand the contributions to the health disparities in the autism spectrum disorder population, we conducted two independent research approaches to learn about current medical needs. A retrospective chart review was performed to evaluate medical comorbidities and medication use. A focus group was also created to address barriers faced in providing medical care. Of 126 charts reviewed, 49% (n = 62) had intellectual disability, 49% (n = 62) had attention-deficit hyperactivity disorder, 52% (n = 65) had anxiety, 41% (n = 52) had obesity, 31% (n = 39) with a history of aggressive behavior, 31% (n = 31) had depression, 22% (n = 28) had seizures, and 9% (n = 11) had hypertension. A Medical Regimen Complexity Index score was determined to examine medication use trends in the autism spectrum disorder population. Medical Regimen Complexity Index scores were significantly higher for patients with intellectual disability, patients with seizures, and patients with a history of aggressive behavior. Both the focus group and our pre-visit assessment identified the waiting room and waiting time as barriers to care. Understanding the comorbidities, polypharmacy, and medical barriers should provide a better understanding of the current health care access and delivery needs of adolescents and adults with autism spectrum disorder.

scholarly journals Anti-NMDA Receptor Encephalitis in a Patient with a History of Autism Spectrum Disorder

2020 ◽  
Vol 10 (3) ◽  
pp. 231-235
Author(s):  
Xavier Diao ◽  
Milana Mor
Keyword(s):  
Autism Spectrum Disorder ◽  
Nmda Receptor ◽  
Neuropsychiatric Symptoms ◽  
Antipsychotic Agents ◽  
Altered Mental Status ◽  
Autism Spectrum ◽  
Acute Onset ◽  
Spectrum Disorder ◽  
Nmda Receptor Encephalitis ◽  
History Of

Background: Anti-NMDA receptor (NMDAR) encephalitis is an autoimmune syndrome characterized by a well-described constellation of neuropsychiatric symptoms. Its exact pathophysiology is poorly understood, but it is thought to be mediated by autoantibodies against NMDA (N-methyl-D-aspartate)-type glutamate receptors in the central nervous system. There is ongoing literature to suggest that patients with autism spectrum disorder (ASD) have evidence of neuroinflammation—or by definition, encephalitis. Objective: To investigate the link between autism spectrum disorder and autoimmune encephalitides. Methods: We present a case of anti-NMDA receptor encephalitis in a patient with autism spectrum disorder. “OP” is a 16-year-old male with a history of attention-deficit/ hyperactivity disorder (ADHD) and autism spectrum disorder (ASD) who presented with a 3-day history of acute-onset altered mental status, electroencephalogram (EEG)-corroborated seizures, and slurred speech. Laboratory studies were significant for serum- and cerebrospinal fluid (CSF)-positive NMDA antibodies. The child psychiatry consult-liaison service was consulted for significant agitation and behavioral dyscontrol. We recommended 1:1 observation for safety, as well as antipsychotic agents titrated to clinical effect. The patient had a protracted hospital course, but was eventually discharged to an acute rehabilitation facility for continued stabilization and therapy. Conclusion: It remains to be seen if the relation between encephalitis and ASD is uni- or bidirectional, that is: whether children with ASD have a genetic diathesis to developing encephalitides (such as those mediated by the NMDAR), or conversely, if deranged or inflamed neuroreceptor processes are implicated in the development of ASD.

A STUDY OF DEMOGRAPHIC AND RISK FACTORS OF CHILDREN WITH AUTISM SPECTRUM DISORDER

2021 ◽  
pp. 7-9
Author(s):  
Bobby Hmar ◽  
Suresh Chakravorty ◽  
Ammu Anil ◽  
Ripunjay Khatoniar
Keyword(s):  
Risk Factors ◽  
Autism Spectrum Disorder ◽  
Birth Order ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Perinatal Risk Factors ◽  
Perinatal Risk ◽  
Lower Segment Caesarean Section ◽  
Co Morbidity ◽  
History Of

Background of the study: Various risk factors have been reported in the development of Autism spectrum Disorder. The aim of our study is to explore the demographic and perinatal risk factors implicated in the development of ASD. A retrospective study was conducted with data of 49 children with ASD and found that total 71.3% of children were male 73.5% were in rst birth order. Out of 49 children 53.1% had history of Lower Segment Caesarean Section (LSCS). Indication of LSCS due to various obstetric or perinatal risk factors were reported in 17 cases. Three children had history of low birth weight with history of admission into Neonatal ICU. The study also explore the various co morbidity and found that ADHD (20.4%) was most common comorbidity followed by Mental retardation(18.4%), ADHD and MR(12.2%), seizure disorder and MR (8.2 %). This study found that male gender, rst birth order and perinatal risk factors are implicated in the development of Autism spectrum Disorder and majority of them have one or more another neuro developmental disorder as a comorbidity.

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