Evidence map›Paper›PMID 17684768›Full record

ArticleEuropean journal of pediatrics2008

The diagnosis of autism in a female: could it be Rett syndrome?

Deidra J Young, Ami Bebbington, Alison Anderson, David Ravine, Carolyn Ellaway, Alpana Kulkarni, Nick de Klerk, Walter E Kaufmann, Helen Leonard

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in European journal of pediatrics, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Atypical case of Rett syndrome with concurrentWorld journal of clinical pediatrics · 2025
    Article
  3. The CaInternational journal of molecular sciences · 2025
    Review
  4. Review
  5. Review
  6. Review
  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. Article
  14. Review
  15. Review
  16. Rett syndrome and MeCP2.Neuromolecular medicine · 2014
    Review
  17. Brief report: MECP2 mutations in people without Rett syndrome.Journal of autism and developmental disorders · 2014
    Article
  18. Review
  19. A review of the role of female gender in autism spectrum disorders.Journal of autism and developmental disorders · 2013
    Review
  20. TARGETED TREATMENTS IN AUTISM AND FRAGILE X SYNDROME.Research in autism spectrum disorders · 2012
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Deidra J YoungCentre for Child Health Research, Telethon Institute for Child Health Research, University of Western Australia, Perth, WA, Australia. Deidray@ichr.uwa.edu.au
Ami Bebbington
Alison Anderson
David Ravine
Carolyn Ellaway
Alpana Kulkarni
Nick de Klerk
Walter E Kaufmann
Helen Leonard

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The overlap between autism and Rett syndrome clinical features has led to many cases of Rett syndrome being initially diagnosed with infantile autism or as having some autistic features. Both conditions seriously disrupt social and language development and are often accompanied by repetitive, nonpurposeful stereotypic hand movements. The aims of this study were to compare the early and subsequent clinical courses of female subjects with Rett syndrome categorised by whether or not a diagnosis of autism had been proposed before Rett syndrome had been diagnosed and compare the spectrum of methyl-CpG binding protein 2 (MECP2) mutations identified among the two groups. This study made use of a total of 313 cases recorded in two databases: the Australian Rett Syndrome Database (ARSD) and the International Rett Syndrome Phenotype Database (InterRett). Cases with an initial diagnosis of autism had significantly milder Rett syndrome symptoms and were more likely to remain ambulant, to have some functional hand use and not to have developed a scoliosis. Females with the p.R306C or p.T158M mutations in the MECP2 gene were more likely to have an initial diagnosis of autism, and the specific Rett syndrome symptoms were noted at a later age. We recommend that females who are initially considered to have autism be carefully monitored for the evolution of the signs and symptoms of Rett syndrome.

Indexed as

Databases, GeneticAdolescentAdultAustraliaAutistic DisorderChildChild, PreschoolFemaleFollow-Up StudiesHumansIncidenceInfantInfant, NewbornMethyl-CpG-Binding Protein 2MutationRett SyndromeMethyl-CpG-Binding Protein 2

Identifiers

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.