Asperger syndrome differential diagnosis: Difference between revisions
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==Differential Diagnosis of Asperger Syndrome== | ==Differential Diagnosis of Asperger Syndrome== | ||
== | * Conditions that must be considered in a [[differential diagnosis]] include | ||
< | |||
**[[Autism|Autism spectrum disorder (ASD)]]<ref name="FitzgeraldCorvin2018">{{cite journal|last1=Fitzgerald|first1=Michael|last2=Corvin|first2=Aiden|title=Diagnosis and differential diagnosis of Asperger syndrome|journal=Advances in Psychiatric Treatment|volume=7|issue=4|year=2018|pages=310–318|issn=1355-5146|doi=10.1192/apt.7.4.310}}</ref><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> | |||
**[[ADHD|Attention deficit–hyperactivity disorder (ADHD)]]<ref name="FitzgeraldCorvin2018" /><ref name="pmid24290364" /> | |||
**[[Obsessive compulsive disorder|Obsessive compulsive disorder (OCD)]]<ref name="FitzgeraldCorvin2018" /><ref name="pmid24290364" /> | |||
**[[Schizophrenia]]<ref name="FitzgeraldCorvin2018" /> | |||
**Schizophrenia simplex<ref name="pmid24290364" /> | |||
**Residual schizophrenia<ref name="pmid24290364" /> | |||
**[[Schizoid personality disorder]]<ref name="FitzgeraldCorvin2018" /><ref name="pmid24290364" /> | |||
**[[Schizotypal personality disorder]]<ref name="FitzgeraldCorvin2018" /><ref name="pmid24290364" /> | |||
**[[Semantic pragmatic disorder]]<ref name="FitzgeraldCorvin2018" /> | |||
**[[Nonverbal learning disorder]]<ref name="FitzgeraldCorvin2018" /><ref name="pmid24290364" /> | |||
**Mood disorders (depression and anxiety)<ref name="FitzgeraldCorvin2018" /><ref name="pmid24290364" /> | |||
**[[Stereotypic movement disorder]]<ref name="FitzgeraldCorvin2018" /> | |||
**[[Alexithymia]]<ref name="pmid24290364" /> | |||
**[[Avoidant personality disorder]]<ref name="pmid24290364" /> | |||
**[[Antisocial personality disorder]]<ref name="pmid24290364" /> | |||
**[[Borderline personality disorder]]<ref name="pmid24290364" /> | |||
**[[Narcissistic personality disorder]]<ref name="pmid24290364" /> | |||
**[[Nonverbal learning disorder]]<ref name="pmid24290364" /> | |||
**[[Post traumatic stress disorder|Post traumatic stress disorder (PTSD)]]<ref name="pmid24290364" /> | |||
**[[Social phobia]]<ref name="pmid24290364" /> | |||
**Compulsive (anankastic) personality disorder | |||
* The following table shows the phenomenological overlap of some differential diagnoses of AS that have abnormal social interaction:<ref name="pmid24290364" /> | |||
{| style="border: 0px; font-size: 90%; margin: 3px;" align="center" | {| style="border: 0px; font-size: 90%; margin: 3px;" align="center" | ||
|+ | |+ | ||
|- | |- | ||
| colspan=" | | colspan="9" style="background: #4479BA; text-align: center;" |{{fontcolor|#000|Some Differential Diagnosis of Asperger Syndrome | ||
(Modified Table from The Investigation and Differential Diagnosis of Asperger Syndrome in Adults)<ref name="pmid24290364" /> '''}} | (Modified Table from The Investigation and Differential Diagnosis of Asperger Syndrome in Adults)<ref name="pmid24290364" /> '''}} | ||
|-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" | | ||
|style="padding: 5px 5px; background: #4479BA;" align="center" |'''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''' | | style="padding: 5px 5px; background: #4479BA;" align="center" |'''Abnormal social interaction''' | ||
| style="padding: 5px 5px; background: #DCDCDC;" align="center"|+ | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | + | ||
|style="padding: 5px 5px; background: #DCDCDC;" align="center"| + | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | + | ||
|style="padding: 5px 5px; background: #DCDCDC;" align="center"| + | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | + | ||
|style="padding: 5px 5px; background: #DCDCDC;" align="center"| + | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | + | ||
| style="padding: 5px 5px; background: #DCDCDC;" align="center"|+ | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | + | ||
| style="padding: 5px 5px; background: #DCDCDC;" align="center"|+ | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | + | ||
| style="padding: 5px 5px; background: #DCDCDC;" align="center"|+ | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | + | ||
| style="padding: 5px 5px; background: #DCDCDC;" align="center"|+ | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | + | ||
|- | |- | ||
|style="padding: 5px 5px; background: #4479BA;" align="center" |'''Abnormal verbal communication''' | | style="padding: 5px 5px; background: #4479BA;" align="center" |'''Abnormal verbal communication''' | ||
|style="padding: 5px 5px; background: #DCDCDC;" align="center"|+ | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | + | ||
| style="padding: 5px 5px; background: #DCDCDC;" align="center"|+ | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | + | ||
| style="padding: 5px 5px; background: #DCDCDC;" align="center"|+ | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | + | ||
| style="padding: 5px 5px; background: #DCDCDC;" align="center"|- | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | - | ||
| style="padding: 5px 5px; background: #DCDCDC;" align="center"|- | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | - | ||
| style="padding: 5px 5px; background: #DCDCDC;" align="center"|- | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | - | ||
| style="padding: 5px 5px; background: #DCDCDC;" align="center"|- | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | - | ||
| style="padding: 5px 5px; background: #DCDCDC;" align="center"|- | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | - | ||
|- | |- | ||
|style="padding: 5px 5px; background: #4479BA;" align="center" |'''Abnormal facial expression/gestures/prosody''' | | style="padding: 5px 5px; background: #4479BA;" align="center" |'''Abnormal facial expression/gestures/prosody''' | ||
| style="padding: 5px 5px; background: #DCDCDC;" align="center"|+ | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | + | ||
|style="padding: 5px 5px; background: #DCDCDC;" align="center"| + | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | + | ||
|style="padding: 5px 5px; background: #DCDCDC;" align="center"| + | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | + | ||
| style="padding: 5px 5px; background: #DCDCDC;" align="center"|+ | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | + | ||
|style="padding: 5px 5px; background: #DCDCDC;" align="center"| +/- | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | +/- | ||
|style="padding: 5px 5px; background: #DCDCDC;" align="center"| - | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | - | ||
| style="padding: 5px 5px; background: #DCDCDC;" align="center"|- | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | - | ||
| style="padding: 5px 5px; background: #DCDCDC;" align="center"|+/- | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | +/- | ||
|- | |- | ||
|style="padding: 5px 5px; background: #4479BA;" align="center" |'''Abnormal eye contact''' | | style="padding: 5px 5px; background: #4479BA;" align="center" |'''Abnormal eye contact''' | ||
| style="padding: 5px 5px; background: #DCDCDC;" align="center"|+ | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | + | ||
| style="padding: 5px 5px; background: #DCDCDC;" align="center"|+ | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | + | ||
| style="padding: 5px 5px; background: #DCDCDC;" align="center"|+/- | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | +/- | ||
|style="padding: 5px 5px; background: #DCDCDC;" align="center"| + | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | + | ||
| style="padding: 5px 5px; background: #DCDCDC;" align="center"|+/- | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | +/- | ||
| style="padding: 5px 5px; background: #DCDCDC;" align="center"|- | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | - | ||
| style="padding: 5px 5px; background: #DCDCDC;" align="center"|- | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | - | ||
| style="padding: 5px 5px; background: #DCDCDC;" align="center"|+/- | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | +/- | ||
|- | |- | ||
|style="padding: 5px 5px; background: #4479BA;" align="center" |'''Abnormal theory of mind''' | | style="padding: 5px 5px; background: #4479BA;" align="center" |'''Abnormal theory of mind''' | ||
| style="padding: 5px 5px; background: #DCDCDC;" align="center"|+ | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | + | ||
|style="padding: 5px 5px; background: #DCDCDC;" align="center"| +/- | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | +/- | ||
| style="padding: 5px 5px; background: #DCDCDC;" align="center"|+/- | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | +/- | ||
|style="padding: 5px 5px; background: #DCDCDC;" align="center"| +/- | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | +/- | ||
|style="padding: 5px 5px; background: #DCDCDC;" align="center"| +/- | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | +/- | ||
| style="padding: 5px 5px; background: #DCDCDC;" align="center"|+/- | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | +/- | ||
| style="padding: 5px 5px; background: #DCDCDC;" align="center"|- | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | - | ||
| style="padding: 5px 5px; background: #DCDCDC;" align="center"|+/- | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | +/- | ||
|- | |- | ||
|style="padding: 5px 5px; background: #4479BA;" align="center" |'''Abnormal empathy''' | | style="padding: 5px 5px; background: #4479BA;" align="center" |'''Abnormal empathy''' | ||
|style="padding: 5px 5px; background: #DCDCDC;" align="center"| + | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | + | ||
| style="padding: 5px 5px; background: #DCDCDC;" align="center"|+/- | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | +/- | ||
|style="padding: 5px 5px; background: #DCDCDC;" align="center"| +/- | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | +/- | ||
|style="padding: 5px 5px; background: #DCDCDC;" align="center"| - | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | - | ||
| style="padding: 5px 5px; background: #DCDCDC;" align="center"|- | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | - | ||
|style="padding: 5px 5px; background: #DCDCDC;" align="center"| +/- | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | +/- | ||
|style="padding: 5px 5px; background: #DCDCDC;" align="center"| - | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | - | ||
| style="padding: 5px 5px; background: #DCDCDC;" align="center"|+/- | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | +/- | ||
|- | |- | ||
|style="padding: 5px 5px; background: #4479BA;" align="center" |'''Abnormal interests/rituals/compulsions''' | | style="padding: 5px 5px; background: #4479BA;" align="center" |'''Abnormal interests/rituals/compulsions''' | ||
| style="padding: 5px 5px; background: #DCDCDC;" align="center"|+ | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | + | ||
| style="padding: 5px 5px; background: #DCDCDC;" align="center"|+/- | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | +/- | ||
| style="padding: 5px 5px; background: #DCDCDC;" align="center"|+/- | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | +/- | ||
|style="padding: 5px 5px; background: #DCDCDC;" align="center"| - | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | - | ||
|style="padding: 5px 5px; background: #DCDCDC;" align="center"| - | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | - | ||
|style="padding: 5px 5px; background: #DCDCDC;" align="center"| + | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | + | ||
|style="padding: 5px 5px; background: #DCDCDC;" align="center"| + | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | + | ||
| style="padding: 5px 5px; background: #DCDCDC;" align="center"|- | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | - | ||
|- | |- | ||
|style="padding: 5px 5px; background: #4479BA;" align="center" |'''Abnormal attention''' | | style="padding: 5px 5px; background: #4479BA;" align="center" |'''Abnormal attention''' | ||
|style="padding: 5px 5px; background: #DCDCDC;" align="center"| +/- | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | +/- | ||
|style="padding: 5px 5px; background: #DCDCDC;" align="center"| - | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | - | ||
|style="padding: 5px 5px; background: #DCDCDC;" align="center"| - | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | - | ||
| style="padding: 5px 5px; background: #DCDCDC;" align="center"|- | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | - | ||
| style="padding: 5px 5px; background: #DCDCDC;" align="center"|- | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | - | ||
|style="padding: 5px 5px; background: #DCDCDC;" align="center"| - | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | - | ||
| style="padding: 5px 5px; background: #DCDCDC;" align="center"|- | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | - | ||
| style="padding: 5px 5px; background: #DCDCDC;" align="center"|+ | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | + | ||
|- | |- | ||
|style="padding: 5px 5px; background: #4479BA;" align="center" |'''Abnormal psychomotor function''' | | style="padding: 5px 5px; background: #4479BA;" align="center" |'''Abnormal psychomotor function''' | ||
|style="padding: 5px 5px; background: #DCDCDC;" align="center"| + | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | + | ||
|style="padding: 5px 5px; background: #DCDCDC;" align="center"| - | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | - | ||
|style="padding: 5px 5px; background: #DCDCDC;" align="center"| +/- | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | +/- | ||
| style="padding: 5px 5px; background: #DCDCDC;" align="center"|- | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | - | ||
|style="padding: 5px 5px; background: #DCDCDC;" align="center"| - | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | - | ||
| style="padding: 5px 5px; background: #DCDCDC;" align="center"|- | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | - | ||
|style="padding: 5px 5px; background: #DCDCDC;" align="center"| - | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | - | ||
| style="padding: 5px 5px; background: #DCDCDC;" align="center"|+/- | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | +/- | ||
|- | |- | ||
|style="padding: 5px 5px; background: #4479BA;" align="center" |'''Abnormal self-injurious behavior''' | | style="padding: 5px 5px; background: #4479BA;" align="center" |'''Abnormal self-injurious behavior''' | ||
|style="padding: 5px 5px; background: #DCDCDC;" align="center"| +/- | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | +/- | ||
| style="padding: 5px 5px; background: #DCDCDC;" align="center"|+/- | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | +/- | ||
| style="padding: 5px 5px; background: #DCDCDC;" align="center"|+/- | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | +/- | ||
|style="padding: 5px 5px; background: #DCDCDC;" align="center"| - | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | - | ||
|style="padding: 5px 5px; background: #DCDCDC;" align="center"| - | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | - | ||
| style="padding: 5px 5px; background: #DCDCDC;" align="center"|- | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | - | ||
| style="padding: 5px 5px; background: #DCDCDC;" align="center"|- | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | - | ||
|style="padding: 5px 5px; background: #DCDCDC;" align="center"| +/- <br /> | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | +/- <br /> | ||
|- | |- | ||
|style="padding: 5px 5px; background: #4479BA;" align="center" |'''Abnormal psychotic manifestations''' | | style="padding: 5px 5px; background: #4479BA;" align="center" |'''Abnormal psychotic manifestations''' | ||
| style="padding: 5px 5px; background: #DCDCDC;" align="center"|+/- | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | +/- | ||
| style="padding: 5px 5px; background: #DCDCDC;" align="center"|- | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | - | ||
|style="padding: 5px 5px; background: #DCDCDC;" align="center"| +/- | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | +/- | ||
|style="padding: 5px 5px; background: #DCDCDC;" align="center"| - | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | - | ||
| style="padding: 5px 5px; background: #DCDCDC;" align="center"|- | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | - | ||
| style="padding: 5px 5px; background: #DCDCDC;" align="center"|- | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | - | ||
| style="padding: 5px 5px; background: #DCDCDC;" align="center"|- | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | - | ||
|style="padding: 5px 5px; background: #DCDCDC;" align="center"| - | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | - | ||
|- | |- | ||
|style="padding: 5px 5px; background: #4479BA;" align="center" |'''Abnormal social interaction in childhood''' | | style="padding: 5px 5px; background: #4479BA;" align="center" |'''Abnormal social interaction in childhood''' | ||
| style="padding: 5px 5px; background: #DCDCDC;" align="center"|+ | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | + | ||
|style="padding: 5px 5px; background: #DCDCDC;" align="center"| +/- | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | +/- | ||
| style="padding: 5px 5px; background: #DCDCDC;" align="center"|+/- | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | +/- | ||
| style="padding: 5px 5px; background: #DCDCDC;" align="center"|+/- | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | +/- | ||
| style="padding: 5px 5px; background: #DCDCDC;" align="center"|- | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | - | ||
|style="padding: 5px 5px; background: #DCDCDC;" align="center"| - | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | - | ||
|style="padding: 5px 5px; background: #DCDCDC;" align="center"| - | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | - | ||
| style="padding: 5px 5px; background: #DCDCDC;" align="center"|+ | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | + | ||
|- | |- | ||
|style="padding: 5px 5px; background: #4479BA;" align="center" |'''Abnormal biographical stress factors''' | | style="padding: 5px 5px; background: #4479BA;" align="center" |'''Abnormal biographical stress factors''' | ||
| style="padding: 5px 5px; background: #DCDCDC;" align="center"|- | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | - | ||
|style="padding: 5px 5px; background: #DCDCDC;" align="center"| + | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | + | ||
| style="padding: 5px 5px; background: #DCDCDC;" align="center"|+/- | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | +/- | ||
| style="padding: 5px 5px; background: #DCDCDC;" align="center"|+ | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | + | ||
| style="padding: 5px 5px; background: #DCDCDC;" align="center"|+/- | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | +/- | ||
| style="padding: 5px 5px; background: #DCDCDC;" align="center"|+ | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | + | ||
| style="padding: 5px 5px; background: #DCDCDC;" align="center"|+/- | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | +/- | ||
|style="padding: 5px 5px; background: #DCDCDC;" align="center"| +/- | | style="padding: 5px 5px; background: #DCDCDC;" align="center" | +/- | ||
|} | |} | ||
Revision as of 11:33, 20 June 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
There are several differential diagnosis to consider in the diagnosis of Asperger Syndrome (AS).
Differential Diagnosis of Asperger Syndrome
- Conditions that must be considered in a differential diagnosis include
- Autism spectrum disorder (ASD)[1][2]
- Attention deficit–hyperactivity disorder (ADHD)[1][2]
- Obsessive compulsive disorder (OCD)[1][2]
- Schizophrenia[1]
- Schizophrenia simplex[2]
- Residual schizophrenia[2]
- Schizoid personality disorder[1][2]
- Schizotypal personality disorder[1][2]
- Semantic pragmatic disorder[1]
- Nonverbal learning disorder[1][2]
- Mood disorders (depression and anxiety)[1][2]
- Stereotypic movement disorder[1]
- Alexithymia[2]
- Avoidant personality disorder[2]
- Antisocial personality disorder[2]
- Borderline personality disorder[2]
- Narcissistic personality disorder[2]
- Nonverbal learning disorder[2]
- Post traumatic stress disorder (PTSD)[2]
- Social phobia[2]
- Compulsive (anankastic) personality disorder
- The following table shows the phenomenological overlap of some differential diagnoses of AS that have abnormal social interaction:[2]
Some Differential Diagnosis of Asperger Syndrome
(Modified Table from The Investigation and Differential Diagnosis of Asperger Syndrome in Adults)[2] | ||||||||
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
- ↑ 1.00 1.01 1.02 1.03 1.04 1.05 1.06 1.07 1.08 1.09 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.
- ↑ 2.00 2.01 2.02 2.03 2.04 2.05 2.06 2.07 2.08 2.09 2.10 2.11 2.12 2.13 2.14 2.15 2.16 2.17 2.18 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.