<snip>
Table A:
Summary Comparison of Characteristics
of Autism & Mercury Poisoning
Mercury Poisoning
Autism
Psychiatric Social deficits, shyness, social withdrawal Social deficits, social withdrawal, shyness
Disturbances Depression, mood swings; mask face Depressive traits, mood swings; flat affect
Anxiety Anxiety
Schizoid tendencies, OCD traits Schizophrenic & OCD traits; repetitiveness
Lacks eye contact, hesitant to engage others Lack of eye contact, avoids conversation
Irrational fears Irrational fears
Irritability, aggression, temper tantrums Irritability, aggression, temper tantrums
Impaired face recognition Impaired face recognition
Speech, Loss of speech, failure to develop speech Delayed language, failure to develop speech
Language & Dysarthria; articulation problems Dysarthria; articulation problems
Hearing Speech comprehension deficits Speech comprehension deficits
Deficits Verbalizing & word retrieval problems Echolalia; word use & pragmatic errors
Sound sensitivity Sound sensitivity
Hearing loss; deafness in very high doses Mild to profound hearing loss
Poor performance on language IQ tests Poor performance on verbal IQ tests
Sensory Abnormal sensation in mouth & extremities Abnormal sensation in mouth & extremities
Abnormalities Sound sensitivity Sound sensitivity
Abnormal touch sensations; touch aversion Abnormal touch sensations; touch aversion
Vestibular abnormalities Vestibular abnormalities
Motor Disorders Involuntary jerking movements – arm flapping, ankle jerks, myoclonal jerks, choreiform movements, circling, rocking Stereotyped movements - arm flapping, jumping, circling, spinning, rocking; myoclonal jerks; choreiform movements
Deficits in eye-hand coordination; limb apraxia; intention tremors Poor eye-hand coordination; limb apraxia; problems with intentional movements
Gait impairment; ataxia – from incoordination & clumsiness to inability to walk, stand, or sit; loss of motor control Abnormal gait and posture, clumsiness and incoordination; difficulties sitting, lying, crawling, and walking
Difficulty in chewing or swallowing Difficulty chewing or swallowing
Unusual postures; toe walking Unusual postures; toe walking
Cognitive Impairments Borderline intelligence, mental retardation - some cases reversible Borderline intelligence, mental retardation - sometimes "recovered"
Poor concentration, attention, response inhibition Poor concentration, attention, shifting attention
Uneven performance on IQ subtests Uneven performance on IQ subtests
Verbal IQ higher than performance IQ Verbal IQ higher than performance IQ
Poor short term, verbal, & auditory memory Poor short term, auditory & verbal memory
Poor visual and perceptual motor skills, impairment in simple reaction time Poor visual and perceptual motor skills, lower performance on timed tests
Difficulty carrying out complex commands Difficulty carrying out multiple commands
Word-comprehension difficulties Word-comprehension difficulties
Deficits in understanding abstract ideas & symbolism; degeneration of higher mental powers Deficits in abstract thinking & symbolism, understanding other’s mental states, sequencing, planning & organizing
(iv)
Unusual
Stereotyped sniffing (rats) Stereotyped, repetitive behaviors
Behaviors ADHD traits ADHD traits
Agitation, unprovoked crying, grimacing, staring spells Agitation, unprovoked crying, grimacing, staring spells
Sleep difficulties Sleep difficulties
Eating disorders, feeding problems Eating disorders, feeding problems
Self injurious behavior, e.g. head banging Self injurious behavior, e.g. head banging
Visual Poor eye contact, impaired visual fixation Poor eye contact, problems in joint attention
Impairments "Visual impairments," blindness, near-sightedness, decreased visual acuity "Visual impairments"; inaccurate/slow saccades; decreased rod functioning
Light sensitivity, photophobia Over-sensitivity to light
Blurred or hazy vision Blurred vision
Constricted visual fields Not described
Physical Disturbances Increase in cerebral palsy; hyper- or hypo-tonia; abnormal reflexes; decreased muscle strength, especially upper body; incontinence; problems chewing, swallowing, salivating Increase in cerebral palsy; hyper- or hypotonia; decreased muscle strength, especially upper body; incontinence; problems chewing and swallowing
Rashes, dermatitis/dry skin, itching; burning Rashes, dermatitis, eczema, itching
Autonomic disturbance: excessive sweating, poor circulation, elevated heart rate Autonomic disturbance: unusual sweating, poor circulation, elevated heart rate
Gastro-intestinal Gastroenteritis, diarrhea; abdominal pain, constipation, "colitis" Diarrhea, constipation, gaseousness, abdominal discomfort, colitis
Disturbances Anorexia, weight loss, nausea, poor appetite Anorexia; feeding problems/vomiting
Lesions of ileum & colon; increased gut permeability Leaky gut syndrome
Inhibits dipeptidyl peptidase IV, which cleaves casomorphin Inadequate endopeptidase enzymes needed for breakdown of casein & gluten
Abnormal Biochemistry Binds -SH groups; blocks sulfate transporter in intestines, kidneys Low sulfate levels
Has special affinity for purines & pyrimidines Purine & pyrimidine metabolism errors lead to autistic features
Reduces availability of glutathione, needed in neurons, cells & liver to detoxify heavy metals Low levels of glutathione; decreased ability of liver to detoxify heavy metals
Causes significant reduction in glutathione peroxidase and glutathione reductase Abnormal glutathione peroxidase activities in erythrocytes
Disrupts mitochondrial activities, especially in brain Mitochondrial dysfunction, especially in brain
Immune Dysfunction Sensitivity due to allergic or autoimmune reactions; sensitive individuals more likely to have allergies, asthma, autoimmune-like symptoms, especially rheumatoid-like ones More likely to have allergies and asthma; familial presence of autoimmune diseases, especially rheumatoid arthritis; IgA deficiencies
Can produce an immune response in CNS On-going immune response in CNS
Causes brain/MBP autoantibodies Brain/MBP autoantibodies present
Causes overproduction of Th2 subset; kills/inhibits lymphocytes, T-cells, and monocytes; decreases NK T-cell activity; induces or suppresses IFNg & IL-2 Skewed immune-cell subset in the Th2 direction; decreased responses to T-cell mitogens; reduced NK T-cell function; increased IFNg & IL-12
(v)
CNS Structural Pathology Selectively targets brain areas unable to detoxify or reduce Hg-induced oxidative stress Specific areas of brain pathology; many functions spared
Damage to Purkinje and granular cells Damage to Purkinje and granular cells
Accummulates in amygdala and hippocampus Pathology in amygdala and hippocampus
Causes abnormal neuronal cytoarchitecture; disrupts neuronal migration & cell division; reduces NCAMs Neuronal disorganization; increased neuronal cell replication, increased glial cells; depressed expression of NCAMs
Progressive microcephaly Progressive microcephaly and macrocephaly
Brain stem defects in some cases Brain stem defects in some cases
Abnormalities in Neuro-chemistry Prevents presynaptic serotonin release & inhibits serotonin transport; causes calcium disruptions Decreased serotonin synthesis in children; abnormal calcium metabolism
Alters dopamine systems; peroxidine deficiency in rats resembles mercurialism in humans Possibly high or low dopamine levels; positive response to peroxidine (lowers dopamine levels)
Elevates epinephrine & norepinephrine levels by blocking enzyme that degrades epinephrine Elevated norepinephrine and epinephrine
Elevates glutamate Elevated glutamate and aspartate
Leads to cortical acetylcholine deficiency; increases muscarinic receptor density in hippocampus & cerebellum Cortical acetylcholine deficiency; reduced muscarinic receptor binding in hippocampus
Causes demyelinating neuropathy Demyelination in brain
EEG Causes abnormal EEGs, epileptiform activity Abnormal EEGs, epileptiform activity
Abnormalities/ Causes seizures, convulsions Seizures; epilepsy
Epilepsy Causes subtle, low amplitude seizure activity Subtle, low amplitude seizure activities
Population Effects more males than females Male:female ratio estimated at 4:1
Charact-eristics At low doses, only affects those geneticially susceptible High heritability - concordance for MZ twins is 90%
First added to childhood vaccines in 1930s First "discovered" among children born in 1930s
Exposure levels steadily increased since 1930s with rate of vaccination, number of vaccines Prevalence of autism has steadily increased from 1 in 2000 (pre1970) to 1 in 500 (early 1990s), higher in 2000.
Exposure occurs at 0 - 15 months; clinical silent stage means symptom emergence delayed; symptoms emerge gradually, starting with movement & sensation Symptoms emerge from 4 months to 2 years old; symptoms emerge gradually, starting with movement & sensation
(vi)
<more>
<link>
http://www.altcorp.com/DentalInformation/autismhg.htm