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February 12, 2026Case Reports in Psychiatry0 citationsOpen Access

Autism and Its Lookalikes: A Case Report of a Child Whose Autism Diagnosis No Longer Fit Years Later

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EKElizabeth KimJHJi S. Hong

Key Points

  • This report aims to highlight the importance of reevaluating autism diagnoses in children, especially when symptoms change.
  • Case presentation of a 5-year-old male with prior ASD diagnosis.
  • Medical treatment was applied for ADHD and mood dysregulation.
  • Assessment conducted at two time points: initial diagnosis at 48 months and reevaluation at 62 months.
  • The child no longer met the criteria for ASD upon reevaluation.
  • Initial symptoms of ASD were mild after treatment for ADHD.
  • Emphasized the importance of considering other diagnoses.

Abstract

Background Autism spectrum disorders (ASDs) involve deficits in social communication and interactions as well as restricted, repetitive behaviors that can be reliably diagnosed in children as young as 14 months old, mostly by 36 months old, although signs of ASD may be present before then. Case Presentation We present a case of a 5‐year‐old male who was diagnosed with ASD at 48 months and was found to no longer meet criteria for ASD upon reevaluation at 62 months after receiving medication treatment for his underlying attention‐deficit/hyperactivity disorder (ADHD) and severe mood dysregulation. Conclusions In this report, we discussed the need to consider a broad differential of diagnoses that may resemble ASD and the need to reevaluate a child for ASD, especially if their ASD symptoms were mild on initial evaluation.

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Cite This Study

Kim et al. (2026) studied this question.

synapsesocial.com/papers/698d6de45be6419ac0d531e7https://doi.org/10.1155/crps/8279416
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