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What is CDD in health?

Published in Childhood Disorder 3 mins read

CDD in health refers to Childhood Disintegrative Disorder, a rare condition affecting development.

Understanding Childhood Disintegrative Disorder (CDD)

Childhood Disintegrative Disorder, sometimes called Heller's syndrome or disintegrative psychosis, is a neurodevelopmental disorder where children experience a significant loss of previously acquired skills. This loss typically occurs after a period of normal development. Here’s a more detailed breakdown:

Key Features of CDD:

  • Late Onset: CDD emerges after the child has demonstrated at least two years of normal development, usually around 3 years of age.
  • Regression of Skills: The hallmark of CDD is a dramatic loss of skills that were previously mastered. This includes:
    • Language: Loss of vocabulary, conversational abilities, and understanding of language.
    • Social Function: Difficulty in social interactions, loss of interest in playing with others, and decreased emotional expression.
    • Motor Skills: Decline in fine and gross motor abilities, such as walking, running, or using hands effectively.
  • Rarity: CDD is an uncommon condition, making it essential for healthcare professionals to recognize its distinct characteristics.

Comparison to Autism Spectrum Disorder (ASD)

It is important to distinguish CDD from Autism Spectrum Disorder (ASD). While both conditions affect development, they have key differences:

Feature Childhood Disintegrative Disorder (CDD) Autism Spectrum Disorder (ASD)
Onset Late onset (after 2 years of normal development) Typically present from early childhood
Developmental Path Regression of skills Delays in skill acquisition
Skill Loss Significant loss of previously learned skills May have uneven skill development

Symptoms of CDD

CDD presents with a distinct set of symptoms, including:

  • Loss of expressive and receptive language skills.
  • Decline in social interaction skills.
  • Regression in motor skills.
  • Loss of bowel and bladder control.
  • Repetitive behaviors and mannerisms.

Diagnosis of CDD

Diagnosing CDD involves a comprehensive assessment, including:

  • Detailed developmental history of the child.
  • Evaluation of the child’s current skills in various areas.
  • Exclusion of other disorders that can cause similar symptoms.
  • Observation of developmental regression.

Management and Support for CDD

Managing CDD is challenging and requires a multidisciplinary approach. Key strategies include:

  • Behavioral Therapies: To address repetitive behaviors and improve adaptive skills.
  • Speech and Language Therapy: To help improve communication abilities.
  • Occupational Therapy: To address motor skills deficits.
  • Educational Support: To create a structured learning environment.
  • Family Support: To assist families in coping with the complexities of the condition.

Conclusion

CDD is a complex neurodevelopmental disorder characterized by significant regression after a period of normal development. Early recognition and intervention are crucial for improving the lives of affected children and their families.

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