From the Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, 330 Brookline Ave, LY318, Boston, MA 02215.
At Medicine Grand Rounds at Children's Hospital in December 2000, Isabelle
Rapin, MD, discussed an 8-year-old boy with autism.1
Austin showed normal early development, but by age 18 months the few words
he knew disappeared from his speech. A comprehensive evaluation at age 2½
years revealed language at the 8- to 15-month level, and a preference for
solitary play, limited social interacting, and perseveration. The diagnosis
of autism was made. Austin received interventional services and entered public
school, assisted by an aide. Fluvoxamine maleate seemed to help with social
skills, and trazodone helped with sleeping. Mr D, Austin's father, described
both the stresses on the family and the joys of raising his son.
Parker RA, Hartman EE. An 8-Year-Old Boy With Autism, 1 Year Later. JAMA. 2002;287(4):504. doi:10.1001/jama.287.4.504