Síndrome de Asperger

Abstract

The Asperger syndrome was described by Hans Asperger in 1994 (Naranjo R, 2014), it was in this same year that it appeared as an autonomous nosological entity, same that in the current ICD 10 currently has the coding of F845 (WHO, 1992), however, in 2013 in the current classification specified in the DSM-V, it falls within the "Autism Spectrum Disorders" along with autism and other pervasive developmental disorders, in the CIE 11 which correlates directly with the DSM-V, the coding corresponds to 6 A02, which according to OMS will be implemented in January 2002 (OMS, 2018). Asperger is characterized by difficulties in communication and social interaction with repetitive behavior patterns and restricted activities. The ability to express feelings is limited, with a tendency to underestimate and censor. The ability to control behavior is reduced, is predisposed to changes in mood and experiences episodes of anger that are difficult to control even in elderly individuals. The average age of diagnosis is 7 years, however, there is a large amount of underdiagnosis and difficulty in identifying their condition (Kocourkova J., 2013). The treatment is mainly based on construction and counseling to achieve appropriate social behaviors, the use of communication strategies, language and development of social skills (T., 1998) (Benson H., 1975). The case presented below corresponds to a 27-year-old male patient admitted by the emergency service of the Provincial General Teaching Hospital of Riobamba for autolytic attempt and intoxication with amitriptyline. After the stabilization of the acute phase, his personal pathological background and behavioral characteristics were analyzed, concluding with a diagnosis of Asperger's syndrome. In the present case, the comorbidities present in the patient were analyzed, in addition to applying psychometric tests to reassess the diagnosis.