Late Identification of Autistic Disorder in Nigeria: An Illustration with 2 Case Reports

Abstract

Background: Autistic disorder is a severe neuro-developmental disorder.In recent years, there has been an increased concern about the upsurgein the prevalence of autism. Psychiatrists and other clinicians have a pivotal role in its identification.Methods: This is a report of 2 cases of autistic disorder seen at a child andadolescent psychiatric clinic in Nigeria.Results: The first case was a boy (17 years) and the second was a girl (14years). Both cases had severe impairments in social relationships, communication, and behaviour; masked by non-specific autistic symptoms. They were diagnosed late.Conclusion: The importance of early identification was illustrated. Factorsimplicated in late identification include non specific pattern of presentation,poor level of autism awareness, late referral to specialist centres andinadequate child psychiatric facilities in Nigeria. These should be reviewedand given urgent attention.