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Fifteen-minute consultation: A practical approach to developmental regression in children. | LitMetric

Fifteen-minute consultation: A practical approach to developmental regression in children.

Arch Dis Child Educ Pract Ed

Department of Paediatric Neurology, Royal Manchester Children's Hospital, Manchester, UK.

Published: August 2019

AI Article Synopsis

  • Developmental regression is a concerning sign in children, indicating the loss of previously gained skills across various developmental areas.
  • The causes can vary widely, presenting challenges in diagnosis and management, but they can be categorized to guide appropriate investigation and treatment.
  • This article offers a structured approach to assessing children with regression, including key symptoms, potential diagnoses, initial tests, and treatment options.

Article Abstract

Developmental regression is an important red flag in any child's developmental performance and should be recognised promptly. It is the loss of previously acquired skills and can affect any sphere of childhood development. Presentation and underlying causes are heterogeneous in nature, in turn presenting many clinical challenges. While broad, the causes of regression can be categorised based on clinical findings, so that investigation and management options can be tailored appropriately. It is extremely important to try and make a definitive diagnosis if possible. This allows appropriate initiation of treatment for potentially reversible causes and for specific therapies, which may alter disease progression and improve quality of life in some cases. This article outlines a systematic approach to the evaluation of a child with suspected regression, covering the nature of presentation, key differential diagnoses, first-line investigations and management.

Download full-text PDF

Source
http://dx.doi.org/10.1136/archdischild-2017-313792DOI Listing

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