Asperger syndrome differential diagnosis
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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)
- Obsessive compulsive disorder (OCD)
- Schizophrenia
- Schizophrenia simplex
- Residual schizophrenia
- Schizoid personality disorder
- Schizotypal personality disorder
- Depression
- Semantic pragmatic disorder
- Nonverbal learning disorder
- Stereotypic movement disorder
- Alexithymia
- Avoidant personality disorder
- Antisocial personality disorder
- Borderline personality disorder
- Narcissistic personality disorder
- Nonverbal learning disorder
- Post traumatic stress disorder (PTSD)
- Social phobia
- Compulsive (anankastic) personality disorder
Overview
| Asperger Syndrome Differential Diagnosis
(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
- ↑ 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.
- ↑ 2.0 2.1 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.