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This report pertains to a follow-up study of a male autistic patient, the first case of early infatile autism in Japan reported in 1952. He is presently 38 years old. has continued to have the fundamental characterisics of early infantile autism. and gives us the impression that he has become an adult maintaining the traces of infancy. Thus, the initial diagnosis of early infantile autism has been confirmed during 31 years of follow-up. According to the results of many other follow-up studies of autistic children, most patients showed poor outcome. To our regret. the outcome of this patient was also poor. We emphasized in this study that the treatment system must be confirmed immediately and that institutions for poor-outcome patients are required.

The present status of an early infantile autism first reported in Japan thirty years ago.