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Allergies linked to autism spectrum disorder in children

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Findings support ‘immune-mediated’ ASD subtype

The results of this study add to a “growing body of literature supporting an immune-mediated subtype of autism spectrum disorder (ASD),” Christopher J. McDougle, MD, wrote in an editorial published with the study.

Although prior studies have identified an association between ASD and respiratory and skin allergy, this study is “the first to document the association of food allergy with ASD with confidence, in part based on the large sample size they accessed,” he said (JAMA Network Open. 2018;1[2]:e180280. doi: 10.1001/jamanetworkopen.2018.0280).

Dr. Christopher J. McDougle, Lurie Center for Autism, Massachusetts General Hospital, Boston

Dr. Christopher J. McDougle

“It may be that GI dysfunction, seizures, and sleep disorder, in addition to food, respiratory, and skin allergies, are medical comorbidities that characterize the immune-mediated subtype of ASD,” he added. “Evidence continues to mount that an immune-mediated subtype of ASD should continue to be pursued and defined.”

Dr. McDougle is affiliated with the Lurie Center for Autism at Massachusetts General Hospital.


 

FROM JAMA NETWORK OPEN


Particularly striking were the connections found between ASD and food allergy. “Although the underlying mechanisms for the observed association between food allergy and ASD remain to be elucidated, the gut-brain-behavior axis could be one of the potential mechanisms,” Dr. Xu and her coauthors wrote. “Previous studies found higher prevalence of gastrointestinal symptoms among children with ASD.”

Limitations to the study include possible recall bias and misreporting, as well as an absence of information about onset of allergy and ASD diagnosis.

“Large prospective cohort studies starting from birth or early life are needed to confirm our findings,” the authors concluded.

No conflicts of interest were reported.

SOURCE: Guifeng X et al. JAMA Network Open. 2018 Jun 8. doi: 10.1001/jamanetworkopen.2018.0279.

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