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Autoimmune disorders in child psychiatry: keeping up with the field

  • Adele Warrilow and Michael Morton

Summary

Autoimmune disorders in children and adolescents can have significant neuropsychiatric complications and there is growing interest in the association between autoimmune conditions and psychiatric syndromes, particularly in Down syndrome. Acute presentations with psychiatric symptoms require careful assessment in order to recognise and plan treatment of underlying autoimmune disease in collaboration with paediatric colleagues. Difficult treatment decisions arise in children with established autoimmune diagnoses and psychiatric symptoms that may be a result of neuroimmunological processes associated with their condition, psychiatric side-effects of drug treatments or psychopathology resulting from other factors in the history that may or may not have a direct relation to the autoimmune diagnosis. This article illustrates these complexities through discussion of specific autoimmune disorders and three case histories.

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Copyright

Corresponding author

Dr Michael Morton, Institute of Health & Wellbeing, College of Medical, Veterinary and Life Sciences, University of Glasgow, Caledonia House, Royal Hospital for Sick Children, Yorkhill, Glasgow G3 8SJ, UK. Email: Michael.morton@glasgow.ac.uk

Footnotes

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Learning Objectives

Be aware of the impact of a rapidly changing knowledge base in autoimmune disorders across a wide range of areas of practice in child and adolescent psychiatry Know when to suspect autoimmune disorder and how to pursue a diagnosis Know how to evaluate and respond to requests for advice from paediatric colleagues concerned about children with autoimmune disorders

Declaration of Interest

None

Footnotes

References

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Autoimmune disorders in child psychiatry: keeping up with the field

  • Adele Warrilow and Michael Morton

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Autoimmune disorders in child psychiatry: keeping up with the field

  • Adele Warrilow and Michael Morton
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