Journal of Investigative Medicine High Impact Case Reports (Nov 2022)

Pancytopenia due to Restrictive Food Intake in an Autistic Adult

  • Danielle Lowe MD, PhD,
  • Christian Barrett MD,
  • Chelsea Shepherd DO,
  • Jane Charles MD,
  • Benjamin Kalivas MD

DOI
https://doi.org/10.1177/23247096221139260
Journal volume & issue
Vol. 10

Abstract

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Autism spectrum disorder (ASD) is a neuro-behavioral syndrome that develops in childhood and can be comorbid with restrictive and avoidant food intake disorder. This case details a young man who was hospitalized with pancytopenia due to restrictive nutritional intake related to his severe ASD. He was found to have undetectable vitamin B12 levels. His blood counts improved with transfusion, nutritional supplementation, and dental care. This report illustrates the importance of understanding ASD and potential medical complications of related behaviors.