P16 Is there an association between paediatric rheumatological disease and autism?
| Autor: | Kirsty E. Haslam |
|---|---|
| Rok vydání: | 2019 |
| Předmět: | |
| Zdroj: | Rheumatology. 58 |
| ISSN: | 1462-0332 1462-0324 |
| DOI: | 10.1093/rheumatology/kez415.012 |
| Popis: | Background The prevalence of autistic spectrum disorder (ASD) in children in UK is ∼1 in 100. There is emerging evidence that dysregulation of the immune system may be an underlying cause of ASD. The CARRA registry from the USA reported a frequency of 0.3% co-morbidity of autism in children with JIA. There is a paucity of data from the UK reporting this association. Methods The department’s database of all patients that attended the local paediatric rheumatology clinic was reviewed over a 12-month period from April 2018 to April 2019. Diagnoses were grouped broadly into inflammatory (JIA, systemic disease, non-JIA uveitis) and non-inflammatory (mechanical, bone and collagen disorder and other). Those with a co-morbidity of autism were also identified within inflammatory and non-inflammatory groups. Results There were 196 individual patients within the cohort of paediatric rheumatology patients seen in Bradford in April 2018 to April 2019. These were subcategorised into JIA (N = 79,40%), mechanical (N = 56, 29%), systemic rheumatological disease (N = 31, 16%), bone and collagen disorders (N = 12, 6%), other non-inflammatory diagnoses (N = 11, 6%), non-JIA associated uveitis (N = 7, 3%). This cohort was divided into 117 patients with inflammatory paediatric rheumatological conditions and 79 patients with non-inflammatory causes for joint pain. Nine children (see Table 1) had a co-morbidity of autism, of which 6 children had an inflammatory diagnosis and 3 a non-inflammatory cause for joint pain. The prevalence of autism in our cohort of children with paediatric rheumatological disease was 5%, which is higher than expected from a UK prevalence of autism of 1%. P16 Table 1: Patients with Autism in Paediatric Rheumatology cohort. Diagnosis Age Age at presentation to paediatric rheumatology Gender Inflammatory/ Non-inflammatory Oligo JIA 5y 4y Male Inflammatory Oligo JIA 11y 10y Female Inflammatory Oligo JIA 13y 7y Female Inflammatory Ext- oligo JIA 18y 8y Male Inflammatory Ext- oligo JIA 14y 7y Male Inflammatory CTD 15y 2y Female Inflammatory Hypermobility 16y 16y Male Non-inflammatory Mechanical 14y 14y Female Non-inflammatory Mechanical 11y 11y Female Non-inflammatory Conclusion In this cohort of paediatric rheumatology patients there was a higher prevalence of autism than the UK average. Two of these patients were diagnosed with autism after presenting to our service. This association is compatible with the emerging recognition of dysregulation of the immune system as a potential underlying cause of ASD. It is important to consider the co-morbidity of autism in children presenting to paediatric rheumatology clinic and potentially paediatric rheumatological conditions in children already diagnosed with autism, where there may be a delay in their presentation due to communication difficulties. There is the need for a larger UK study to review this association further. Conflicts of Interest The authors declare no conflicts of interest. |
| Databáze: | OpenAIRE |
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