Autism & Developmental

Brief report: childhood disintegrative disorder as a likely manifestation of vitamin B12 deficiency.

Malhotra et al. (2013) · Journal of autism and developmental disorders 2013
★ The Verdict

Low B12 can look like childhood disintegrative disorder, and shots can reverse it.

✓ Read this if BCBAs working with kids who show sudden skill loss after age three.
✗ Skip if Clinicians only treating gradual-onset ASD with no regression.

01Research in Context

01

What this study did

Doctors wrote up one boy who lost words, play, and toilet skills at age four.

Blood work showed low vitamin B12. No other cause was found.

02

What they found

B12 shots brought back language and play skills in a few weeks.

The boy kept improving while the shots continued.

03

How this fits with other research

Moretti et al. (2008) saw the same pattern with folate. Both papers say: check vitamins first.

Ferreri et al. (2011) described eight kids with CDD but did not test B12. Savita adds a treatable cause to that picture.

Page (2000) urged metabolic work-ups in autism. This case is the proof that one shot can change a life.

04

Why it matters

Any sudden loss of skills should trigger a lab order, not just more therapy. One quick blood draw can turn a tragic regression into a treatable condition. Ask the pediatrician for B12, folate, and a full metabolic panel before you intensify ABA hours.

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→ Action — try this Monday

Add 'check B12 and folate' to your intake form for any new regression case.

02At a glance

Intervention
not applicable
Design
case study
Sample size
1
Population
developmental delay
Finding
not reported

03Original abstract

Childhood disintegrative disorder is a rare disorder, characterized by regression of acquired skills after a period of normal development. The case of childhood disintegrative disorder presented here was found to have vitamin B12 deficiency and hyperhomocysteinemia on extensive evaluation to find a probable cause for regression. This case illustrates the need for a thorough evaluation of all cases of childhood disintegrative disorder so that treatable causes of regression, like vitamin B12 deficiency, are not missed.

Journal of autism and developmental disorders, 2013 · doi:10.1007/s10803-013-1762-6