Asperger syndrome differential diagnosis: Difference between revisions

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(Modified Table from The Investigation and Differential Diagnosis of Asperger Syndrome in Adults)<ref name="pmid24290364" /> '''}}
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Revision as of 08:35, 17 July 2020


Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Shakiba Hassanzadeh, MD[2]

Overview

There are several differential diagnosis to consider in the diagnosis of Asperger Syndrome (AS) including attention deficit–hyperactivity disorder (ADHD), obsessive compulsive disorder (OCD), schizophrenia, schizoid personality disorder, schizotypal personality disorder and mood disorders.[1][2]

Differential Diagnosis of Asperger Syndrome

  • The following table shows the overlap of some differential diagnoses of AS that have abnormal social interaction:[1]
Some Differential Diagnosis of Asperger Syndrome

(Modified Table from The Investigation and Differential Diagnosis of Asperger Syndrome in Adults)[1]

Asperger Syndrome Schizoid Personality Disorder Schizotypal Personality Disorder Avoidant Personality Disorder Social Phobia Obsessive Personality Disorder Obsessive-compulsive disorder (OCD) Attention deficit–hyperactivity disorder (ADHD)
Abnormal social interaction + + + + + + + +
Abnormal verbal communication + + + - - - - -
Abnormal facial expression/gestures/prosody + + + + +/-  - - +/- 
Abnormal eye contact + + +/-  + +/-  - - +/- 
Abnormal theory of mind + +/-  +/-  +/-  +/-  +/-  - +/- 
Abnormal empathy + +/-  +/-  - - +/-  - +/- 
Abnormal interests/rituals/compulsions + +/-  +/-  - - + + -
Abnormal attention +/-  - - - - - - +
Abnormal psychomotor function + - +/-  - - - - +/- 
Abnormal self-injurious behavior +/- +/-  +/-  - - - - +/- 
Abnormal psychotic manifestations +/- - +/-  - - - - -
Abnormal social interaction in childhood + +/-  +/-  +/-  - - - +
Abnormal biographical stress factors - + +/-  + +/-  + +/-  +/- 




Some Differential Diagnosis of Asperger Syndrome

(Modified Table from The Investigation and Differential Diagnosis of Asperger Syndrome in Adults)[1]

Abnormal social interaction Abnormal verbal communication Abnormal facial expression/

gestures

/prosody

Abnormal eye contact Abnormal theory of mind Abnormal empathy Abnormal interests/

rituals/

compulsions

Abnormal attention Abnormal psychomotor function Abnormal self-injurious behavior Abnormal psychotic manifestations Abnormal social interaction in childhood Abnormal biographical stress factors
Asperger Syndrome + + + + + + + +/-  + +/-  +/-  + -
Schizoid Personality Disorder + + + + +/-  +/-  +/-  - - +/-  - +/-  +
Schizotypal Personality Disorder + + + +/-  +/-  +/-  +/-  - +/-  +/-  +/-  +/-  +/- 
Avoidant Personality Disorder + - + + +/-  - - - - - - +/-  +
Social Phobia + - +/-  +/-  +/-  - - - - - - - +/- 
Obsessive Personality Disorder + - - - +/-  +/-  + - - - - - +
Obsessive-compulsive disorder (OCD) + - - - - - + - - - - - +/- 
Attention deficit–hyperactivity disorder (ADHD) + - +/-  +/-  +/-  +/-  - + +/-  +/-  - + +/- 

References

  1. 1.0 1.1 1.2 1.3 1.4 Lehnhardt FG, Gawronski A, Pfeiffer K, Kockler H, Schilbach L, Vogeley K (2013). "The investigation and differential diagnosis of Asperger syndrome in adults". Dtsch Arztebl Int. 110 (45): 755–63. doi:10.3238/arztebl.2013.0755. PMC 3849991. PMID 24290364.
  2. 2.0 2.1 Fitzgerald, Michael; Corvin, Aiden (2018). "Diagnosis and differential diagnosis of Asperger syndrome". Advances in Psychiatric Treatment. 7 (4): 310–318. doi:10.1192/apt.7.4.310. ISSN 1355-5146.


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