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                  <text>Treatment of Symptoms in Children with Q3 Conditions Scoping Review Results</text>
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              <text>&lt;a href="http://doi.org/10.1002/ajmg.a.31169" target="_blank" rel="noreferrer noopener"&gt;http://doi.org/​10.1002/ajmg.a.31169&lt;/a&gt;</text>
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                <text>Behavioral and temperamental features of children with Costello syndrome</text>
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                <text>American Journal of Medical Genetics Part A</text>
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                <text>2006</text>
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                <text>Male; Child Behavior; Child; Humans; Female; Child  Preschool; Syndrome; Linear Models; Abnormalities  Multiple/px [Psychology]; Temperament; Abnormalities  Multiple/ge [Genetics]; Abnormalities  Multiple/pa [Pathology]; Aggression/px [Psychology]; Developmental Disabilities/pa [Pathology]; Face/ab [Abnormalities]; Growth Disorders/pa [Pathology]; Juvenile Delinquency/px [Psychology]; Shyness; behavioral problems; Costello syndrome; trajectory; characteristics; internalizing problems</text>
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                <text>Galera  C; Delrue  M A; Goizet  C; Etchegoyhen  K; Taupiac  E; Sigaudy  S; Arveiler  B; Philip  N; Bouvard  M; Lacombe  D</text>
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                <text>Costello syndrome (CS) is a rare genetic condition due to germline mutations in HRAS proto-oncogene and characterized by increased birth weight, postnatal growth retardation, distinctive facial appearance, typical medical problems (including feeding problems in the neonatal period), cutaneous anomalies, and developmental delay. Outgoing personality has often been noted in case reports, but few studies have focused specifically on the behavioral aspects of CS. A preliminary survey described irritability in younger patients with improvement between age 2 and 4, but a standardized psychometric tool was not used. A second study using the Child Behavior Checklist (CBCL) showed relatively high (albeit subclinical) levels of internalizing problems. These descriptive investigations lacked a control group. We describe a comparative survey to evaluate the behavioral and temperamental features of children with CS. We conducted a cross-sectional assessment using the CBCL and the Emotionality, Activity, Shyness, Sociability (EAS) temperament questionnaire to evaluate behavior and temperament in 11 CS children (2 years 5 months to 9 years) comparing them to 33 gender- and age-matched children without disability. The results suggest that the high levels of internalizing problems found before age 4 in CS patients might decrease with age. They also point to possible "hyperemotionality." Further studies using a larger sample size and IQ-matched control groups are needed to more accurately characterize individuals with this rare syndrome.Copyright 2006 Wiley-Liss, Inc.</text>
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                <text>&lt;a href="http://doi.org/10.1002/ajmg.a.31169" target="_blank" rel="noreferrer noopener"&gt;10.1002/ajmg.a.31169&lt;/a&gt;</text>
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                <text>Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).</text>
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                  <text>Treatment of Symptoms in Children with Q3 Conditions Scoping Review Results</text>
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              <text>&lt;a href="http://doi.org/10.1007/bf02172213" target="_blank" rel="noreferrer noopener"&gt;http://doi.org/​10.1007/bf02172213&lt;/a&gt;</text>
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                <text>Self-injury in Lesch-Nyhan disease</text>
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                <text>Journal of Autism and Developmental Disorders</text>
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                <text>1994</text>
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                <text>Adolescent; Adult; Aggression/px [Psychology]; Arousal; Child; behavioral problems; Lesch-Nyhan syndrome; trajectory; characteristics; self-injury</text>
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                <text>Anderson  L T; Ernst  M</text>
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                <text>UNLABELLED: Parents of 40 patients with Lesch-Nyhan disease completed a questionnaire detailing developmental history, life course, management, medication, factors influencing variability and topography of self-injury. Several conclusions were reached. Characteristics: Biting was the predominant form, perhaps only because of the difficulty of preventing it. There was considerable variability in self-injury which was strongly related to stress rather than to operant influences. Even though patients could not inhibit self-injury they could predict it and request restraints. Aggression against others was as prevalent as self-injury. MANAGEMENT: Stress reduction, teeth extraction, and physical restraint were the most commonly used management techniques. Behavior modification was of limited efficacy. Benzodiazepines were the most commonly used medications for controlling self-injury. OUTCOME: The severity of self-injury did not change over years. Age of onset was a predictor of outcome. The earlier the age of onset the worse the self-injury eventually became. The discussion describes research strategies, suggests dimensions along which self-injury can be classified, and highlights behavior not commonly described in patients with Lesch-Nyhan disease.</text>
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                <text>&lt;a href="http://doi.org/10.1007/bf02172213" target="_blank" rel="noreferrer noopener"&gt;10.1007/bf02172213&lt;/a&gt;</text>
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                <text>Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).</text>
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