{"id":101,"date":"2016-10-27T17:36:03","date_gmt":"2016-10-27T17:36:03","guid":{"rendered":"https:\/\/mylearningsource.wordpress.com\/?page_id=101"},"modified":"2021-11-12T06:33:34","modified_gmt":"2021-11-12T06:33:34","slug":"differential-diagnosis-and-co-existing-conditions","status":"publish","type":"page","link":"https:\/\/enablenet.info\/wordpress\/en\/autism\/autism-2\/differential-diagnosis-and-co-existing-conditions\/","title":{"rendered":"Differential diagnosis and co-existing conditions"},"content":{"rendered":"<p><a href=\"http:\/\/enablenet.info\/wordpress\/wp-content\/uploads\/2017\/01\/Differential-diagnosis-and-coexisting-conditions-En150117pdf.compressed.pdf\"><img loading=\"lazy\" class=\"alignright size-full wp-image-616\" src=\"http:\/\/enablenet.info\/wordpress\/wp-content\/uploads\/2017\/01\/PDF-1.jpeg\" alt=\"\" width=\"142\" height=\"90\" \/><\/a><\/p>\n<p>Many conditions, described as differential diagnosis, present with symptoms like autism. Some of these conditions may also coexist with autism.<\/p>\n<p>Whenever a child is diagnosed with autism some questions must be asked:<\/p>\n<ol>\n<li>\u201cIs it really ASD or could it be some other condition with symptoms like autism?\u201d and<\/li>\n<li>\u201cdoes the child have another condition coexisting with ASD?\u201d<\/li>\n<\/ol>\n<p>It is recommended<a href=\"#_edn1\" name=\"_ednref1\">[i]<\/a> that we consider the following conditions for differential diagnosis and undertake specific assessment and\/or obtain expert advice to exclude them:<\/p>\n<ul>\n<li><strong>Neurodevelopmental disorders:<\/strong>\n<ul>\n<li>language delay or disorder<\/li>\n<li>intellectual disability or global developmental delay<\/li>\n<li>developmental coordination disorder (DCD).<\/li>\n<\/ul>\n<\/li>\n<li><strong>Mental and behavioural disorders:<\/strong>\n<ul>\n<li>attention deficit hyperactivity disorder (ADHD)<\/li>\n<li>mood disorder e.g. depression<\/li>\n<li>anxiety disorder<\/li>\n<li>attachment disorders<\/li>\n<li>oppositional defiant disorder (ODD)<\/li>\n<li>conduct disorder<\/li>\n<li>obsessive compulsive disorder (OCD)<\/li>\n<li>psychosis.<\/li>\n<\/ul>\n<\/li>\n<li><strong>Conditions in which there is developmental regression:<\/strong>\n<ul>\n<li>Rett syndrome<\/li>\n<li>epileptic encephalopathy.<\/li>\n<\/ul>\n<\/li>\n<li><strong>Other conditions:<\/strong>\n<ul>\n<li>severe hearing impairment<\/li>\n<li>severe visual impairment<\/li>\n<li>maltreatment<\/li>\n<li>selective mutism.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>Language impairment (LI)<\/strong><\/p>\n<table style=\"border-color: #121010; background-color: #ede88e;\">\n<tbody>\n<tr>\n<td width=\"301\"><strong>Presenting features that make it look like ASD<\/strong><\/td>\n<td width=\"301\"><strong>Features that are different from ASD<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"301\">Understanding and use of language is affected<\/td>\n<td width=\"301\">L I children often use non-verbal communication to compensate<\/td>\n<\/tr>\n<tr>\n<td width=\"301\">Play is often immature or delayed<\/td>\n<td width=\"301\">Use of language in ASD remains poor or odd compared to the expressive language ability<\/td>\n<\/tr>\n<tr>\n<td width=\"301\">Social communication is often affected when the language is poor<\/td>\n<td width=\"301\">LI children have more difficulty in speaking than understanding; in ASD the understanding is more affected.<\/td>\n<\/tr>\n<tr>\n<td width=\"301\">Making friends is difficult<\/td>\n<td width=\"301\">Delayed echolalia, rigid repetitive behaviours and over focussed interests are present in ASD and not in LI.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p><strong>Intellectual disability (ID)\/global developmental impairment <\/strong><\/p>\n<table style=\"border-color: #242020; background-color: #e8a2a2;\">\n<tbody>\n<tr>\n<td width=\"301\"><strong>Presenting features that make it look like ASD<\/strong><\/td>\n<td width=\"301\"><strong>Features that are different from ASD<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"301\">Understanding and use of language is affected<\/td>\n<td width=\"301\">Children with ID show more social interest and reciprocity than those with ASD<\/td>\n<\/tr>\n<tr>\n<td width=\"301\">Play is often poor or delayed<\/td>\n<td width=\"301\">Children with ID show social imitation<\/td>\n<\/tr>\n<tr>\n<td width=\"301\">Social interaction is often limited<\/td>\n<td width=\"301\">Sensory sensitivities and over focussed interests are more marked in ASD<\/td>\n<\/tr>\n<tr>\n<td width=\"301\">Making friends is difficult<\/td>\n<td width=\"301\">Social skills impairment becomes apparent at a later age in ID<\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" width=\"601\">Children with combined ASD and ID are more withdrawn, aloof, self-injurious and ritualistic than those with just ID.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p><strong>Developmental coordination disorder (DCD)<\/strong><\/p>\n<table style=\"border-color: #2b2626; background-color: #c5dea2;\">\n<tbody>\n<tr>\n<td width=\"301\"><strong>Presenting features that make it look like ASD<\/strong><\/td>\n<td width=\"301\"><strong>Features that are different from ASD<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"301\">Poor sense of personal space<\/td>\n<td width=\"301\">Children with DCD have good communicative intent and reciprocity and their language is not disordered.<\/td>\n<\/tr>\n<tr>\n<td width=\"301\">Clumsiness<\/td>\n<td width=\"301\">Children with DCD have normal imaginative play.<\/td>\n<\/tr>\n<tr>\n<td width=\"301\">Difficulties with peer relationships.<\/td>\n<td width=\"301\">Sensory sensitivities and over focussed interests seen in ASD are not seen in DCD.<\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" width=\"601\">Some children with ASD may get a diagnosis of DCD first because of their clumsiness.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p><strong>Attention deficit and hyperactivity disorder (ADHD)<\/strong><\/p>\n<table style=\"border-color: #171414; background-color: #f2c4e0;\">\n<tbody>\n<tr>\n<td width=\"301\"><strong>Presenting features that make it look like ASD<\/strong><\/td>\n<td width=\"301\"><strong>Features that are different from ASD<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"301\">Hyperactivity, poor attention and impulsivity<\/td>\n<td width=\"301\">In ASD the child gives sustained attention to own interests<\/td>\n<\/tr>\n<tr>\n<td width=\"301\">Interrupting and intruding in conversations and activities<\/td>\n<td width=\"301\">In ADHD social norms are understood, though may not be followed<\/td>\n<\/tr>\n<tr>\n<td width=\"301\">Poor awareness of danger<\/td>\n<td width=\"301\">In ADHD the child is exposed to danger due to impulsivity; in ASD there is poor understanding of risks.<\/td>\n<\/tr>\n<tr>\n<td width=\"301\">Difficulties with peer relationships<\/td>\n<td width=\"301\">In ADHD the child has social interest and can demonstrate social reciprocity<\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" width=\"601\">ADHD commonly coexists with ASD; they are not mutually exclusive.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p><strong>Anxiety disorder<\/strong><\/p>\n<table style=\"border-color: #241e1e; background-color: #dedcf2;\">\n<tbody>\n<tr>\n<td width=\"301\"><strong>Presenting features that make it look like ASD<\/strong><\/td>\n<td width=\"301\"><strong>Features that are different from ASD<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"301\">Repetitive questioning or seeking of reassurance<\/td>\n<td width=\"301\">In ASD the repetitive questions or statements have an insistent and stereotyped quality e.g. asking about time or age; often the answers to these questions must be given in the same way to be accepted by the child.<\/td>\n<\/tr>\n<tr>\n<td width=\"301\">Social avoidance<\/td>\n<td width=\"301\">In Anxiety the social avoidance is based more on the fear of being judged or some other fear; in ASD social avoidance is due to a lack of interest.<\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" width=\"601\">Anxiety is commonly present in children with ASD; they are not mutually exclusive.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p><strong>Selective mutism (SM)<\/strong><\/p>\n<table style=\"border-color: #211c1c; background-color: #f2d3d3;\">\n<tbody>\n<tr>\n<td width=\"301\"><strong>Presenting features that make it look like ASD<\/strong><\/td>\n<td width=\"301\"><strong>Features that are different from ASD<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"301\">Lack of communication in social settings<\/td>\n<td width=\"301\">Normal communication and social interaction present at home in SM<\/td>\n<\/tr>\n<tr>\n<td width=\"301\">History of language delay may be present<\/td>\n<td width=\"301\">Normal imaginative play in SM<\/td>\n<\/tr>\n<tr>\n<td width=\"301\">Anxiety is seen in social settings<\/td>\n<td width=\"301\">No repetitive behaviour, over focussed interests, sensory or motor mannerisms in SM.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p><strong>Obsessive compulsive disorder (OCD)<\/strong><\/p>\n<table style=\"border-color: #302828; background-color: #d2f7ed;\">\n<tbody>\n<tr>\n<td width=\"301\"><strong>Presenting features that make it look like ASD<\/strong><\/td>\n<td width=\"301\"><strong>Features that are different from ASD<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"301\">Obsessive, ritualistic and repetitive behaviour pattern.<\/td>\n<td width=\"301\">The onset of OCD is usually after 4 years of age.<\/td>\n<\/tr>\n<tr>\n<td width=\"301\"><\/td>\n<td width=\"301\">Social communication and reciprocity are normal in OCD<\/td>\n<\/tr>\n<tr>\n<td width=\"301\"><\/td>\n<td width=\"301\">In OCD the behaviours are distressing for the child e.g. having to repeatedly wash hands.<\/td>\n<\/tr>\n<tr>\n<td width=\"301\"><\/td>\n<td width=\"301\">In ASD the routines are more about insistence on sameness.<\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" width=\"601\">OCD can co-occur with ASD.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p><strong>Severe behaviour problems (oppositional defiant disorder (ODD) or conduct disorder)<\/strong><\/p>\n<table style=\"border-color: #241f1f; background-color: #f2c7c7;\">\n<tbody>\n<tr>\n<td width=\"301\"><strong>Presenting features that make it look like ASD<\/strong><\/td>\n<td width=\"301\"><strong>Features that are different from ASD<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"301\">A lack of concern or empathy for others and a lack of remorse<\/td>\n<td width=\"301\">In ODD the child understands the nature of behaviour but justifies, and deliberately persists<\/td>\n<\/tr>\n<tr>\n<td width=\"301\">Poor peer relationships<\/td>\n<td width=\"301\">In ODD behaviour can be modified when the child is motivated<\/td>\n<\/tr>\n<tr>\n<td width=\"301\"><\/td>\n<td width=\"301\">In ODD there are often no repetitive behaviours with normal early development of social skills.<\/td>\n<\/tr>\n<tr>\n<td width=\"301\"><\/td>\n<td width=\"301\">In ASD the focus is the behaviour with no awareness of its impact.<\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" width=\"601\">Severe behavioural problems can co-occur with ASD.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Attachment disorder (AD)<\/strong><\/p>\n<table style=\"border-color: #2e2626; background-color: #e0c8e8;\">\n<tbody>\n<tr>\n<td width=\"301\"><strong>Presenting features that make it look like ASD<\/strong><\/td>\n<td width=\"301\"><strong>Features that are different from ASD<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"301\">Unusual, odd or disinhibited social behaviour e.g. becoming overfriendly with strangers.<\/td>\n<td width=\"301\">Child with AD seeks social attention through their disinhibited behaviour; in ASD there is no such seeking.<\/td>\n<\/tr>\n<tr>\n<td width=\"301\">Being negative or withdrawn from parents particularly with a lack of reaction or odd reaction at separation or reunion.<\/td>\n<td width=\"301\">In AD the imaginative play is normal and there is lack of intense or unusual interests<\/td>\n<\/tr>\n<tr>\n<td width=\"301\"><\/td>\n<td width=\"301\">There is a history of maltreatment\/abuse in AD<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p><strong>Rett Syndrome (RS)<\/strong><\/p>\n<table style=\"border-color: #241e1e; background-color: #cfe3e0;\">\n<tbody>\n<tr>\n<td width=\"301\"><strong>Presenting features that make it look like ASD<\/strong><\/td>\n<td width=\"301\"><strong>Features that are different from ASD<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"301\">Regression of language skills with loss of social communication behaviour around the 1<sup>st<\/sup> birthday<\/td>\n<td width=\"301\">Loss of purposeful hand movements, general motor skills and ataxia are seen in RS, not in ASD.<\/td>\n<\/tr>\n<tr>\n<td width=\"301\">Stereotyped hand movements<\/td>\n<td width=\"301\">Autistic hand and finger mannerisms are different from the \u201chand-wringing\u201d in RS<\/td>\n<\/tr>\n<tr>\n<td width=\"301\"><\/td>\n<td width=\"301\">Social interest is relatively preserved in RS<\/td>\n<\/tr>\n<tr>\n<td width=\"301\"><\/td>\n<td width=\"301\">In Rett syndrome MECP2 mutation is confirmed on testing<\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" width=\"601\">Mild RS is more likely to be associated with ASD.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p><strong>Epileptic Encephalopathy (EE)\/ Landau Kleffenr Syndrome (LKS)<\/strong><\/p>\n<table style=\"border-color: #2e2727; background-color: #d5d0d9;\">\n<tbody>\n<tr>\n<td width=\"301\"><strong>Presenting features that make it look like ASD<\/strong><\/td>\n<td width=\"301\"><strong>Features that are different from ASD<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"301\">Loss of language, broad development skills and social impairment in early childhood<\/td>\n<td width=\"301\">Onset of LKS is between 2 and 7 years after a period of normal development<\/td>\n<\/tr>\n<tr>\n<td width=\"301\">Absence seizures may be mistaken for social withdrawal<\/td>\n<td width=\"301\">Social interest and play is relatively preserved in LKS<\/td>\n<\/tr>\n<tr>\n<td width=\"301\"><\/td>\n<td width=\"301\">There are no preoccupations, over-focussed interests, sensory or motor mannerisms in LKS<\/td>\n<\/tr>\n<tr>\n<td width=\"301\"><\/td>\n<td width=\"301\">Specific EEG findings in LKS<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p><strong>Severe visual impairment (VI)<\/strong><\/p>\n<table style=\"border-color: #292323; background-color: #f0b9c5;\">\n<tbody>\n<tr>\n<td width=\"301\"><strong>Presenting features that make it look like ASD<\/strong><\/td>\n<td width=\"301\"><strong>Features that are different from ASD<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"301\">Lack of communicative eye contact, facial expressions and gestures and joint attention.<\/td>\n<td width=\"301\">Social interest, effort and reciprocity is present in VI<\/td>\n<\/tr>\n<tr>\n<td width=\"301\">Delayed language, play skills and persistence of echolalia<\/td>\n<td width=\"301\">Children with VI want to share their interest with others and have good exploratory play<\/td>\n<\/tr>\n<tr>\n<td width=\"301\">Narrow range of interests<\/td>\n<td width=\"301\">Children with VI express empathy<\/td>\n<\/tr>\n<tr>\n<td width=\"301\">Repetitive mannerisms may be present<\/td>\n<td width=\"301\">Motor mannerisms are different: eye pocking and rocking are seen more in VI<\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" width=\"601\">ASD and severe VI can co-occur<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><strong>Severe hearing impairment (HI)<\/strong><\/p>\n<table style=\"border-color: #292222; background-color: #f2eec2;\">\n<tbody>\n<tr>\n<td width=\"301\"><strong>Presenting features that make it look like ASD<\/strong><\/td>\n<td width=\"301\"><strong>Features that are different from ASD<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"301\">Delayed understanding and use<\/td>\n<td width=\"301\">Social interest, initiation and reciprocity are intact in HI<\/td>\n<\/tr>\n<tr>\n<td width=\"301\">Social awkwardness and isolation<\/td>\n<td width=\"301\">Imaginative play is intact in HI<\/td>\n<\/tr>\n<tr>\n<td width=\"301\"><\/td>\n<td width=\"301\">Non-verbal communication is good in HI<\/td>\n<\/tr>\n<tr>\n<td width=\"301\"><\/td>\n<td width=\"301\">No rigidity or repetitiveness seen in HI<\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" width=\"601\">ASD and severe HI can co-occur.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p><strong>Co-existing conditions with ASD<\/strong><\/p>\n<p>The following is the prevalence of the main co-existing conditions:<\/p>\n<table style=\"border-color: #292222; background-color: #a3e6d3;\">\n<tbody>\n<tr>\n<td width=\"165\">Conditions<\/td>\n<td width=\"154\">Prevalence (%) in children with classical autism<\/td>\n<td width=\"154\">Prevalence (%) in children with ASD<\/td>\n<td width=\"128\">Population prevalence<\/td>\n<\/tr>\n<tr>\n<td width=\"165\">Intellectual disability<\/td>\n<td width=\"154\">76<\/td>\n<td width=\"154\">65<\/td>\n<td width=\"128\">3-14\/1000<\/td>\n<\/tr>\n<tr>\n<td width=\"165\">ADHD<\/td>\n<td width=\"154\">41<\/td>\n<td width=\"154\">45<\/td>\n<td width=\"128\">3-5%<\/td>\n<\/tr>\n<tr>\n<td width=\"165\">Anxiety<\/td>\n<td width=\"154\">62<\/td>\n<td width=\"154\">27<\/td>\n<td width=\"128\"><\/td>\n<\/tr>\n<tr>\n<td width=\"165\">Self-injurious behaviour<\/td>\n<td width=\"154\">49<\/td>\n<td width=\"154\">Not known<\/td>\n<td width=\"128\"><\/td>\n<\/tr>\n<tr>\n<td width=\"165\">OCD<\/td>\n<td width=\"154\">37<\/td>\n<td width=\"154\">8<\/td>\n<td width=\"128\"><\/td>\n<\/tr>\n<tr>\n<td width=\"165\">Depression<\/td>\n<td width=\"154\">14<\/td>\n<td width=\"154\">9<\/td>\n<td width=\"128\"><\/td>\n<\/tr>\n<tr>\n<td width=\"165\">Seizures<\/td>\n<td width=\"154\">24<\/td>\n<td width=\"154\">15<\/td>\n<td width=\"128\"><\/td>\n<\/tr>\n<tr>\n<td width=\"165\">Tourette syndrome<\/td>\n<td width=\"154\">Not known<\/td>\n<td width=\"154\">12<\/td>\n<td width=\"128\"><\/td>\n<\/tr>\n<tr>\n<td width=\"165\">Cerebral palsy<\/td>\n<td width=\"154\">5<\/td>\n<td width=\"154\">5<\/td>\n<td width=\"128\">2\/1000<\/td>\n<\/tr>\n<tr>\n<td width=\"165\">Sleep problems<\/td>\n<td width=\"154\">37<\/td>\n<td width=\"154\">61<\/td>\n<td width=\"128\"><\/td>\n<\/tr>\n<tr>\n<td width=\"165\">Gastrointestinal problems<\/td>\n<td width=\"154\">3<\/td>\n<td width=\"154\">62<\/td>\n<td width=\"128\"><\/td>\n<\/tr>\n<tr>\n<td width=\"165\">Vision deficits<\/td>\n<td width=\"154\">7<\/td>\n<td width=\"154\">6<\/td>\n<td width=\"128\">2\/1000<\/td>\n<\/tr>\n<tr>\n<td width=\"165\">Hearing deficits<\/td>\n<td width=\"154\">3<\/td>\n<td width=\"154\">8<\/td>\n<td width=\"128\">1\/1000<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p><a href=\"#_ednref1\" name=\"_edn1\">[i]<\/a> Autism spectrum disorder in under 19s: recognition, referral and diagnosis. CG 128. NICE: Sept 2011.<\/p>\n<p>&nbsp;<\/p>\n<p class=\"entry-title\"><a href=\"https:\/\/enablenet.info\/wordpress\/index.php\/autism\/autism-2\/warning-signs-of-asd\/\">Early signs of ASD&lt;<strong>PREVIOUS PAGE<\/strong><\/a>\u00a0 \u00a0<a href=\"https:\/\/enablenet.info\/wordpress\/index.php\/autism\/autism-2\/risk-factors-for-autism-spectrum-disorder-asd\/\"><strong>NEXT PAGE<\/strong><strong>&gt;<\/strong>Risk factors for ASD<\/a><\/p>\n<p><\/p>","protected":false},"excerpt":{"rendered":"<p>Many conditions, described as differential diagnosis, present with symptoms like autism. Some of these conditions may also coexist with autism. Whenever a child is diagnosed with autism some questions must be asked: \u201cIs it really ASD or could it be&#8230; <a href=\"https:\/\/enablenet.info\/wordpress\/en\/autism\/autism-2\/differential-diagnosis-and-co-existing-conditions\/\" class=\"readmore\">Read more<span class=\"screen-reader-text\">Differential diagnosis and co-existing conditions<\/span><span class=\"fa fa-angle-double-right\" aria-hidden=\"true\"><\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"parent":49,"menu_order":2,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v17.7.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Differential diagnosis and co-existing conditions - EnableNet.Info<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/enablenet.info\/wordpress\/hi\/autism\/autism-2\/differential-diagnosis-and-co-existing-conditions\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"[:en]Differential diagnosis and co-existing conditions[:hi]\u0906\u091f\u093f\u091c\u094d\u092e \u0938\u0947 \u092e\u093f\u0932\u0924\u0940\u091c\u0941\u0932\u0924\u0940 \u092f\u093e \u0938\u093e\u0925 \u0939\u094b\u0928\u0947 \u0935\u093e\u0932\u0940 \u092a\u0930\u093f\u0938\u094d\u0925\u093f\u0924\u093f\u092f\u093e\u0902[:] - EnableNet.Info\" \/>\n<meta property=\"og:description\" content=\"Many conditions, described as differential diagnosis, present with symptoms like autism. 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