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Perspective | Open Access

Clinical profiles in autism spectrum disorder: Enhancing diagnosis, treatment, and overall health outcomes

Centro Universitário União das Américas, Foz do Iguacu, Brazil
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Abstract

Background

Autism spectrum disorder (ASD) is a neurodevelopmental condition characterized by significant challenges in communication, behavior, and social interaction. The prevalence of ASD is rising, with current estimates indicating that it affects 1 in 36 children in the United States. Traditional diagnostic methods often fail to capture the full complexity of ASD, leading to incomplete treatment approaches. This study aimed to enhance diagnostic and therapeutic approaches to ASD by identifying and categorizing 10 clinical profiles using precision medicine.

Methods

This study presents a new stratification model for ASD that classifies individuals based on prevalent comorbidities and underlying biological mechanisms. The model is based on a synthesis of existing literature, clinical observations, and expert insights. Data were collected from detailed clinical evaluations, patient histories, and laboratory tests, and the model was refined through iterative analysis. It integrates findings from genetic, neurological, and psychiatric research to develop a comprehensive approach for diagnosing and treating ASD‐related comorbidities.

Results

The study proposes 10 clinical profiles of ASD: syndromic, gastrointestinal, metabolic, mitochondrial, endocrine, bioaccumulative, infectious, immunological, inflammatory, and Neurological. Each profile is associated with specific symptoms and comorbidities influenced by genetic, environmental, and biological factors.

Conclusions

The stratification model proposed in this study enhances the diagnosis and treatment of ASD by recognizing its heterogeneity. By identifying specific clinical profiles, healthcare providers can develop personalized and integrated therapeutic strategies to improve the overall health outcomes of individuals with ASD.

Graphical Abstract

This study introduces a stratification model for autism spectrum disorder (ASD), delineating ASD into 10 clinical profiles based on comorbidities and biological mechanisms. Black arrows represent causal pathways between factors (e.g., genetic predispositions leading to physiological responses), while red arrows highlight feedback loops where manifestations exacerbate underlying mechanisms. By integrating precision medicine and behavioral insights, this approach enhances diagnostic accuracy and tailors interventions, addressing the heterogeneity of ASD and improving health outcomes.

References

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Medicine Advances
Pages 384-401

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Cite this article:
Machado Cruz T. Clinical profiles in autism spectrum disorder: Enhancing diagnosis, treatment, and overall health outcomes. Medicine Advances, 2024, 2(4): 384-401. https://doi.org/10.1002/med4.89

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Received: 25 June 2024
Accepted: 25 October 2024
Published: 07 December 2024
© 2024 The Author(s). Tsinghua University Press.

This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial‐NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.