Clinical Vignette
Steven is a 20-month-old boy born at term with no significant medical history except for recurrent ear infections. He had appropriate motor milestones, but his parents became concerned at 14 months because he was not using words and did not respond consistently to his name. He communicates by crying, whining, or leading his mother by the hand to a desired object. Steven does not point or use gestures such as waving or clapping, although will reach his hand toward things he wants. His parents find it difficult to get his attention, and he does not make eye contact readily. His favorite toy is a small car that he carries with him everywhere. He likes to spin the wheels with his finger and watch them out of the corner of his eye. Steven also lines up toys and occasionally flaps his hands.
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Angkustsiri, K., Hansen, R.L. (2012). Autism Spectrum Disorders. In: Elzouki, A.Y., Harfi, H.A., Nazer, H.M., Stapleton, F.B., Oh, W., Whitley, R.J. (eds) Textbook of Clinical Pediatrics. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-02202-9_47
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