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Isabelle Rapin, MD, Discussant

JAMA. 2001;285:1749-1757.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

DR PARKER: Austin is an 8-year-old boy diagnosed as having autism at age 2 years. He has improved substantially in cognition and speech but still struggles with social interactions. This is his first year in a public school with his peers, and his parents wonder what the future holds. They live in a suburb of Boston, and Austin's medical care is covered by managed care insurance.

Austin weighed 8 lb 10 oz at birth, after a normal pregnancy and delivery. He appeared alert and normal in all respects. The parents noted normal early development, but at 12 months Austin began to box his ears at loud noises and cry for no apparent reason. Friends and family told the parents not to worry. At 18 months, Austin spoke only a few words (eg, "Mama, Daddy, juice"), yet these few words soon disappeared from his speech. The pediatrician . . . [Full Text of this Article]

MR D, AUSTIN'S FATHER: HIS VIEW

AT THE CROSSROADS: QUESTIONS TO DR RAPIN

Onset and Symptoms

Prevalence and Etiologies

Diagnosis and Evaluation

Educational Interventions

Medical and Other Interventions

Social and Family Issues

Future Research Directions

QUESTIONS AND DISCUSSION

Author Affiliation: Dr Rapin is Professor of Neurology and Pediatrics, Attending Neurologist and Child Neurologist, Albert Einstein College of Medicine, Bronx, NY.

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