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Background Autism spectrum disorder (ASD) is characterized by impairments in social communication, restricted repetitive and stereotyped patterns of behavior, interests and activities by impairment of imagination, and hyper and hyposensitivity. Food refusal, restricted eating, and problems of eating habits and patterns are more observed in ASD than typical development [1]. Of the characteristics, restricted eating is attributed to restricted behavior and mouth hypersensitivity [2]. Hypersensitivity in patients with ASD often involves the intraoral sense of touch, particularly texture and consistency [3]. Although most cases achieve spontaneous remission [4], severe malnutrition leading to stunted growth can sometimes occur in children with ASD [5, 6]. Cases of children with ASD complicated by restricted eating resulting in severe malnutrition are rarely reported. Here, we report the case of a 2-year-old boy with ASD with severe iron deficiency anemia (IDA) and stunted growth caused by restricted eating.

biopsychosocial medicine

Iron deficiency anemia, stunted growth, and developmental delay due to avoidant/restrictive food intake disorder by restricted eating in autism spectrum disorder