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Looks like there must be more misdiagnosing than previously

thought. Since ASD is 'diagnosed' phenomenologically it would stand

to reason that there would be some misdiagnosing as doctors only see

a snapshot of our child in their office. Sadly, it must be more

than expected. Hopefully this article isn't taken out of context by

some and becomes cause for panic. There is a lot this article does

not say, i.e. what interventions the children were receiving if any,

etc., etc....

Autism diagnosis remains through early childhood

Thu June 08, 2006 01:08 PM ET

NEW YORK (Reuters Health) - Most children diagnosed with autism at 2

years of age will still have that diagnosis at age 9, investigators

report.

In contrast, many young children first diagnosed with less severe

conditions -- called pervasive developmental disorder not otherwise

specified (PDD-NOS) and autism spectrum disorder (ASD) -- later have

their diagnoses changed to autism.

Dr. Lord, from the University of Michigan Autism and

Communication Disorders Center in Ann Arbor, and her associates

report that clinicians have been questioning the stability of these

diagnoses.

The researchers therefore followed 192 children referred for

evaluation for possible autism before 36 months of age, plus 22

children with developmental delays between ages 13 and 35 months. At

age 9, 172 of these children were available for reevaluation.

According to their report in the Archives of General Psychiatry, the

researchers found that at age 9, most of the changes in diagnosis

were " associated with increasing certainty of classifications moving

from ASD/PDD-NOS to autism. "

More than half of those initially diagnosed with PDD-NOS later met

the criteria for autism, Lord's team indicates. Conversely, only one

of 84 children diagnosed with autism at age 2 years was found to not

have the condition at 9 years of age.

The researchers comment that, since more than half of those first

diagnosed with PDD-NOS later were characterized as autistic, " health

care professionals should be wary of telling parents that their

young children do not have autism. "

SOURCE: Archives of General Psychiatry, June 2006.

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