AUTISM



The medical definition of autism focuses on difficulties in three areas: social interaction, communication and imagination. These are referred to as the ‘triad of impairments’. But defining autism merely in relation to these impairments fails to reflect a huge body of research and clinical experience indicating that many children on the autistic spectrum also have related health issues. These problems are often connected to the gut and immune system. Unfortunately, most mainstream physicians diagnosing autism lack a robust approach to treating it. Parents are not given the breadth of information they need in order to improve their child’s life. Many of these physicians have been trained to accept that the causes of autism spectrum disorders are entirely genetic. Government-funded research has for years primarily focused on genetic links with autism, and this has yielded little to improve our children’s lives. Meanwhile, research conducted around the world confirming the impact of health problems on children diagnosed with autism is not being acted upon, leaving our children untreated. All too often parents find themselves assuming the role of detective, trying on their own to find the source of their child’s health problems and having to judge how best to help. They usually have to bear the cost of any interventions they try, and this expense can be crippling. Autism Eye believes that, once diagnosed, children with autism should be routinely screened for the gastrointestinal, immunological and infection-related issues that appear to beset our children. Parents should not be left unaided to discover the need to deal with these issues, then have to spend huge amounts of time – even years – researching treatments, and bear all the costs of therapies by themselves. We also believe that early, intensive educational intervention is vital, and that parents should not have to battle for this when it can make a significant improvement to their child’s life. We say all this because, as parents of a child with autism, we know from our own experience that treating health-related issues and early educational intervention can have a very positive effect on an autistic child’s behaviour, cognitive development and general health and well-being. Unfortunately, from the moment of diagnosis, we have found that parents are presented with negative messages about their child. They are left doubting that they have the ability to effect change. Families are not being made aware that they can improve their child’s condition. Many do not know what is available to make that happen. The lack of information given to families about the range of interventions available only adds to the stress of raising a child with autism. And stressful it certainly is. Parents’ lives are turned upside down, careers put permanently on hold, earnings curtailed, relationships put under strain. A study by Autism Northern Ireland found that nearly 70 per cent of parents report illness linked to caring for their child, with over 50 per cent of mothers taking medication because of stress. Frustratingly, there is still no consensus among experts around the world on why our children have developed autism and why the number of people with the condition is rising so rapidly. Statistics from the US reveal that the prevalence of autism has risen to one in every 110 births, with almost one in 70 boys affected (US Centre for Disease Control and Prevention, 2009). In the UK, a study found that as many as one in 58 children may have a form of autism (Cambridge University, 2007). Governments across the globe are failing to respond with any effect to this deluge of new autism cases hitting our societies. They also seem not to be aware that a greater availability of effective early medical and educational interventions may drastically reduce the impact of autism spectrum disorders on the economy, as well as improve the quality of life for people with ASD and their families. The cost of autism to economies around the world has reached staggering proportions. In the UK, the expense has been estimated at £28.2 billion a year (London School of Economics, 2007). In the US, The Autism Society puts the annual cost of autism at $60 billion, and predicts it will grow to between $200 billion and $400 billion in ten years. It also points out that the cost of life-long care could be reduced by as much as two-thirds if governments took steps to improve earlier diagnosis and interventions.

DEALING WITH VITILIGO

VITILIGO is a skin condition in which there is a loss of pigment from areas of the skin, resulting in irregular patches that feel like normal skin. it occurs when melanocytes, the cells responsible for skin pigmentation die or are unable to function. The cause of vitiligo is unknown , but research suggest that it may asrise from:
  • AUTOIMMUNE CAUSES
  • GENETIC CAUSES
  • OXIDATIVE CAUSES
  • NEURAL CAUSES
  • VIRAL CAUSES 
prevalence worldwide is less than  1-2%and the average age of onset is 20 years!, though its commonly observed in age 10-30, occurrence in the age and new born is rare. it has been noticed more in females.

TYPES

Vitiligo is classified into segmental and non segmerntal types, though non segmental causes is the most common form.
  • NON SEGMENTAL VITILIGO: This is usually characterized by some form of symmetry in the location of the patches of depigmentation. New patches occurs over time and can be generalized over large portions of the body or localized to a particular area. this kind of vitiligo occurs at any age unlike segmental vitiligo,which is far more prevalent in the teenage years vitiligo universalis is a case which is synonymous with almost complete depigmentation of the entire body
    subclasses of nonsegmental vitiligo include:
    1. generalized vitiligo
    2. universal vitiligo
    3. focal vitiligo
    4. acrofacial vitiligo
    5. mucosal vitiligo
    SEGMENTAL VITILIGO: this differs in appearance , causes and prevalence from associated illnesses. its treatment is different from that of NSV. it tend to affect the skin surrounding the dorsal roots of the spine. it spreads much more rapidly than NSV and without treatment its  much more stable in course and not associated with auto immune diseases and also respond to topical treatment  
  • SIGNS AND SYMPTOM: The most notable symptom of vitiligo is depignmentation of skin around the extremities,  the patches which are usually small in onset expands and change shapes. when skin lesions occur they are usually on the face hand and wrist. depigmentation is usually noticed around orifices, such as nose, mouth, genitals and umbilicus  
     TREATMENT:
    Though no single medical therapy produce good result in all patient, there are different line of treatment.
    • systemic photo-therapy
    • laser therapy
    • topical therapy
    • depigmentation therapy