Asperger syndrome differential diagnosis: Difference between revisions

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! colspan="5" style="background: #4479BA; text-align: center;" |{{fontcolor|#000|'''Asperger Syndrome Differential Diagnosis'''}}|
! colspan="5" style="background: #4479BA; text-align: center;" | {{fontcolor|#000|'''Asperger Syndrome Differential Diagnosis'''
(Modified Table from The Investigation and Differential Diagnosis
(Modified Table from The Investigation and Differential Diagnosis
of Asperger Syndrome in Adults)<ref name="pmid24290364">{{cite journal| author=Lehnhardt FG, Gawronski A, Pfeiffer K, Kockler H, Schilbach L, Vogeley K| title=The investigation and differential diagnosis of Asperger syndrome in adults. | journal=Dtsch Arztebl Int | year= 2013 | volume= 110 | issue= 45 | pages= 755-63 | pmid=24290364 | doi=10.3238/arztebl.2013.0755 | pmc=3849991 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24290364  }} </ref>
of Asperger Syndrome in Adults)<ref name="pmid24290364">{{cite journal| author=Lehnhardt FG, Gawronski A, Pfeiffer K, Kockler H, Schilbach L, Vogeley K| title=The investigation and differential diagnosis of Asperger syndrome in adults. | journal=Dtsch Arztebl Int | year= 2013 | volume= 110 | issue= 45 | pages= 755-63 | pmid=24290364 | doi=10.3238/arztebl.2013.0755 | pmc=3849991 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24290364  }} </ref> }}
|-style="padding: 5px 5px; background: #4479BA;" align="center" |
|-style="padding: 5px 5px; background: #4479BA;" align="center" |
|style="padding: 5px 5px; background: #4479BA;" align="center" |
|style="padding: 5px 5px; background: #4479BA;" align="center" |
|colspan="2" style="background:#4479BA; padding: 5px 5px;" align="center" |{{fontcolor|#000|'''Asperger Syndrome'''}}|
|style="padding: 5px 5px; background: #4479BA;" align="center" |'''Asperger Syndrome'''
|style="padding: 5px 5px; background: #4479BA;" align="center" |'''Schizoid Personality Disorder'''
|style="padding: 5px 5px; background: #4479BA;" align="center" |'''Schizoid Personality Disorder'''
|style="padding: 5px 5px; background: #4479BA;" align="center" |'''Schizotypal Personality Disorder'''
|style="padding: 5px 5px; background: #4479BA;" align="center" |'''Schizotypal Personality Disorder'''
|style="padding: 5px 5px; background: #4479BA;" align="center" |'''Avoidant Personality Disorder'''
|style="padding: 5px 5px; background: #4479BA;" align="center" |'''Avoidant Personality Disorder'''
|style="padding: 5px 5px; background: #4479BA;" align="center" |'''Social Phobia'''
|style="padding: 5px 5px; background: #4479BA;" align="center" |'''Social Phobia'''
|style="padding: 5px 5px; background: #4479BA;" align="center" |'''Obsessive Personality Disorder'''
|style="padding: 5px 5px; background: #4479BA;" align="center" |'''Obsessive Personality Disorder'''
|style="padding: 5px 5px; background: #4479BA;" align="center" |'''Obsessive-compulsive disorder (OCD)'''
|style="padding: 5px 5px; background: #4479BA;" align="center" |'''Obsessive-compulsive disorder (OCD)'''
|style="padding: 5px 5px; background: #4479BA;" align="center" |'''Attention deficit–hyperactivity disorder (ADHD)'''
|style="padding: 5px 5px; background: #4479BA;" align="center" |'''Attention deficit–hyperactivity disorder (ADHD)'''
|-style="padding: 5px 5px; background: #4479BA;" align="center"  |
|'''Abnormal social interaction'''
| +
| +
| +
| +
| +
| +
| +
| +
|-
|-
|'''Abnormal verbal communication'''
|style="padding: 5px 5px; background: #4479BA;" align="center" |'''Abnormal social interaction'''
|<nowiki>+</nowiki>
| style="padding: 5px 5px; background: #DCDCDC;|+
| +
|style="padding: 5px 5px; background: #DCDCDC;| +
| +
|style="padding: 5px 5px; background: #DCDCDC;| +
| -
|style="padding: 5px 5px; background: #DCDCDC;| +
| -
| style="padding: 5px 5px; background: #DCDCDC;|+
| -
| style="padding: 5px 5px; background: #DCDCDC;|+
| -
| style="padding: 5px 5px; background: #DCDCDC;|+
| -
| style="padding: 5px 5px; background: #DCDCDC;|+
|-
|-
|'''Abnormal facial expression/gestures/prosody'''
|style="padding: 5px 5px; background: #4479BA;" align="center" |'''Abnormal verbal communication'''
| +
|style="padding: 5px 5px; background: #DCDCDC;|+
| +
| style="padding: 5px 5px; background: #DCDCDC;|+
| +
| style="padding: 5px 5px; background: #DCDCDC;|+
| +
| style="padding: 5px 5px; background: #DCDCDC;|-
| +/- 
| style="padding: 5px 5px; background: #DCDCDC;|-
| -
| style="padding: 5px 5px; background: #DCDCDC;|-
| -
| style="padding: 5px 5px; background: #DCDCDC;|-
| +/- 
| style="padding: 5px 5px; background: #DCDCDC;|-
|-
|-
|'''Abnormal eye contact'''
|style="padding: 5px 5px; background: #4479BA;" align="center" |'''Abnormal facial expression/gestures/prosody'''
| +
| style="padding: 5px 5px; background: #DCDCDC;|+
| +
|style="padding: 5px 5px; background: #DCDCDC;| +
| +/- 
|style="padding: 5px 5px; background: #DCDCDC;| +
| +
| style="padding: 5px 5px; background: #DCDCDC;|+
| +/- 
|style="padding: 5px 5px; background: #DCDCDC;| +/- 
| -
|style="padding: 5px 5px; background: #DCDCDC;| -
| -
| style="padding: 5px 5px; background: #DCDCDC;|-
| +/- 
| style="padding: 5px 5px; background: #DCDCDC;|+/- 
|-
|-
|'''Abnormal theory of mind'''
|style="padding: 5px 5px; background: #4479BA;" align="center" |'''Abnormal eye contact'''
| +
| style="padding: 5px 5px; background: #DCDCDC;|+
| +/- 
| style="padding: 5px 5px; background: #DCDCDC;|+
| +/- 
| style="padding: 5px 5px; background: #DCDCDC;|+/- 
| +/- 
|style="padding: 5px 5px; background: #DCDCDC;| +
| +/- 
| style="padding: 5px 5px; background: #DCDCDC;|+/- 
| +/- 
| style="padding: 5px 5px; background: #DCDCDC;|-
| -
| style="padding: 5px 5px; background: #DCDCDC;|-
| +/- 
| style="padding: 5px 5px; background: #DCDCDC;|+/- 
|-
|-
|'''Abnormal empathy'''
|style="padding: 5px 5px; background: #4479BA;" align="center" |'''Abnormal theory of mind'''
| +
| style="padding: 5px 5px; background: #DCDCDC;|+
| +/- 
|style="padding: 5px 5px; background: #DCDCDC;| +/- 
| +/- 
| style="padding: 5px 5px; background: #DCDCDC;|+/- 
| -
|style="padding: 5px 5px; background: #DCDCDC;| +/- 
| -
|style="padding: 5px 5px; background: #DCDCDC;| +/- 
| +/- 
| style="padding: 5px 5px; background: #DCDCDC;|+/- 
| -
| style="padding: 5px 5px; background: #DCDCDC;|-
| +/- 
| style="padding: 5px 5px; background: #DCDCDC;|+/- 
|-
|-
|'''Abnormal interests/rituals/compulsions'''
|style="padding: 5px 5px; background: #4479BA;" align="center" |'''Abnormal empathy'''
| +
|style="padding: 5px 5px; background: #DCDCDC;| +
| +/- 
| style="padding: 5px 5px; background: #DCDCDC;|+/- 
| +/- 
|style="padding: 5px 5px; background: #DCDCDC;| +/- 
| -
|style="padding: 5px 5px; background: #DCDCDC;| -
| -
| style="padding: 5px 5px; background: #DCDCDC;|-
| +
|style="padding: 5px 5px; background: #DCDCDC;| +/- 
| +
|style="padding: 5px 5px; background: #DCDCDC;| -
| -
| style="padding: 5px 5px; background: #DCDCDC;|+/- 
|-
|-
|'''Abnormal attention'''
|style="padding: 5px 5px; background: #4479BA;" align="center" |'''Abnormal interests/rituals/compulsions'''
| +/- 
| style="padding: 5px 5px; background: #DCDCDC;|+
| -
| style="padding: 5px 5px; background: #DCDCDC;|+/- 
| -
| style="padding: 5px 5px; background: #DCDCDC;|+/- 
| -
|style="padding: 5px 5px; background: #DCDCDC;| -
| -
|style="padding: 5px 5px; background: #DCDCDC;| -
| -
|style="padding: 5px 5px; background: #DCDCDC;| +
| -
|style="padding: 5px 5px; background: #DCDCDC;| +
| +
| style="padding: 5px 5px; background: #DCDCDC;|-
|-
|-
|'''Abnormal psychomotor function'''
|style="padding: 5px 5px; background: #4479BA;" align="center" |'''Abnormal attention'''
| +
|style="padding: 5px 5px; background: #DCDCDC;| +/- 
| -
|style="padding: 5px 5px; background: #DCDCDC;| -
| +/- 
|style="padding: 5px 5px; background: #DCDCDC;| -
| -
| style="padding: 5px 5px; background: #DCDCDC;|-
| -
| style="padding: 5px 5px; background: #DCDCDC;|-
| -
|style="padding: 5px 5px; background: #DCDCDC;| -
| -
| style="padding: 5px 5px; background: #DCDCDC;|-
| +/- 
| style="padding: 5px 5px; background: #DCDCDC;|+
|-
|-
|'''Abnormal self-injurious behavior'''
|style="padding: 5px 5px; background: #4479BA;" align="center" |'''Abnormal psychomotor function'''
| +/-
|style="padding: 5px 5px; background: #DCDCDC;| +
| +/- 
|style="padding: 5px 5px; background: #DCDCDC;| -
| +/- 
|style="padding: 5px 5px; background: #DCDCDC;| +/- 
| -
| style="padding: 5px 5px; background: #DCDCDC;|-
| -
|style="padding: 5px 5px; background: #DCDCDC;| -
| -
| style="padding: 5px 5px; background: #DCDCDC;|-
| -
|style="padding: 5px 5px; background: #DCDCDC;| -
| +/- <br />
| style="padding: 5px 5px; background: #DCDCDC;|+/- 
|-
|-
|'''Abnormal psychotic manifestations'''
|style="padding: 5px 5px; background: #4479BA;" align="center" |'''Abnormal self-injurious behavior'''
| +/-
|style="padding: 5px 5px; background: #DCDCDC;| +/-
| -
| style="padding: 5px 5px; background: #DCDCDC;|+/- 
| +/- 
| style="padding: 5px 5px; background: #DCDCDC;|+/- 
| -
|style="padding: 5px 5px; background: #DCDCDC;| -
| -
|style="padding: 5px 5px; background: #DCDCDC;| -
| -
| style="padding: 5px 5px; background: #DCDCDC;|-
| -
| style="padding: 5px 5px; background: #DCDCDC;|-
| -
|style="padding: 5px 5px; background: #DCDCDC;| +/- <br />
|-
|-
|'''Abnormal social interaction in childhood'''
|style="padding: 5px 5px; background: #4479BA;" align="center" |'''Abnormal psychotic manifestations'''
| +
| style="padding: 5px 5px; background: #DCDCDC;|+/-
| +/- 
| style="padding: 5px 5px; background: #DCDCDC;|-
| +/- 
|style="padding: 5px 5px; background: #DCDCDC;| +/- 
| +/- 
|style="padding: 5px 5px; background: #DCDCDC;| -
| -
| style="padding: 5px 5px; background: #DCDCDC;|-
| -
| style="padding: 5px 5px; background: #DCDCDC;|-
| -
| style="padding: 5px 5px; background: #DCDCDC;|-
| +
|style="padding: 5px 5px; background: #DCDCDC;| -
|-
|-
|'''Abnormal biographical stress factors'''
|style="padding: 5px 5px; background: #4479BA;" align="center" |'''Abnormal social interaction in childhood'''
| -
| style="padding: 5px 5px; background: #DCDCDC;|+
| +
|style="padding: 5px 5px; background: #DCDCDC;| +/- 
| +/- 
| style="padding: 5px 5px; background: #DCDCDC;|+/- 
| +
| style="padding: 5px 5px; background: #DCDCDC;|+/- 
| +/- 
| style="padding: 5px 5px; background: #DCDCDC;|-
| +
|style="padding: 5px 5px; background: #DCDCDC;| -
| +/- 
|style="padding: 5px 5px; background: #DCDCDC;| -
| +/- 
| style="padding: 5px 5px; background: #DCDCDC;|+
|-
|style="padding: 5px 5px; background: #4479BA;" align="center" |'''Abnormal biographical stress factors'''
| style="padding: 5px 5px; background: #DCDCDC;|-
|style="padding: 5px 5px; background: #DCDCDC;| +
| style="padding: 5px 5px; background: #DCDCDC;|+/- 
| style="padding: 5px 5px; background: #DCDCDC;|+
| style="padding: 5px 5px; background: #DCDCDC;|+/- 
| style="padding: 5px 5px; background: #DCDCDC;|+
| style="padding: 5px 5px; background: #DCDCDC;|+/- 
|style="padding: 5px 5px; background: #DCDCDC;| +/- 
|}
|}



Revision as of 08:16, 20 June 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Differentiating Asperger Syndrome from other Disorders

Conditions that must be considered in a differential diagnosis include

Overview

Asperger Syndrome Differential Diagnosis


Asperger Syndrome Differential Diagnosis

(Modified Table from The Investigation and Differential Diagnosis of Asperger Syndrome in Adults)[3]

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 - + +/-  + +/-  + +/-  +/- 

References

  1. Fitzgerald M, Corvin A (2001). "Diagnosis and differential diagnosis of Asperger syndrome". Adv Psychiatric Treat. 7 (4): 310–8. doi:10.1192/apt.7.4.310.
  2. Foster B, King BH (2003). "Asperger syndrome: to be or not to be?". Curr Opin Pediatr. 15 (5): 491–4. doi:10.1097/00008480-200310000-00008. PMID 14508298.
  3. 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.


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