An overview of pediatric approaches to child with developmental delay especialy if there is suspicion of ASD in first few years of life

Demerdzieva, Aneta and Pop-Jordanova, Nada (2022) An overview of pediatric approaches to child with developmental delay especialy if there is suspicion of ASD in first few years of life. Contributions. Sec. of Med. Sci., 43 (3). ISSN 1857-9345

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Abstract

To be a pediatrician means that one encounters many serious childhood health problems and one finds
many ways to help families cope with these problems. Symptoms in children can be discrete, and the
responsibility of the pediatrician to distinguish normal development from pathological.
We are facing a new era in the developmental assessment of children. A cluster of neurodevelopmental
disorders includes ASD (autism spectrum disorder) and ADHD (attention deficit hyperactivity disorder).
Parents often do not recognize the problem on time. Generally, their first concern is speech delay, leading
to the suspicion of hearing problems. Therefore, it is very important to obtain objective anamnestic infor�mation and for the child to undergo a careful physical examination, a neurophysiological assessment, and
metabolic and genetic testing. The etiology usually is multifactorial: genetic, epigenetic, and non-genetic
factors act in combination through various paths.
Most children seem to have typical neurodevelopment during first their year. It was found that approximately
one-third of children with ASD lose some skills during the preschool period, usually speech related, but
sometimes also non-verbal communication, social or play skills.
In conclusion we must say that it is very important to recognize the early signs of ASD and any kind of
other developmental delay and to start with early intervention. Clinical pediatricians tend to correlate
clinical manifestations and biological underpinnings related to neurodevelopmental disorder, especially
ASD. Therefore, better treatment possibilities are needed.

Item Type: Article
Subjects: Medical and Health Sciences > Clinical medicine
Divisions: Faculty of Medical Science
Depositing User: Aneta Demerdzieva
Date Deposited: 15 May 2023 07:59
Last Modified: 15 May 2023 07:59
URI: https://eprints.ugd.edu.mk/id/eprint/31729

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