Introducere. Tulburările de vorbire şi limbaj (TVL) şi tulburarea de spectru autist (TSA) sunt afecţiuni de neurodezvol-tare frecvente, cu manifestări clinice suprapuse (dificultăţi de limbaj, deficite sociale), dar şi specifice( comportamente repetitive,interese restrânse) ceea ce complică diagnosticul diferenţial. Scop. Evaluarea concordanţei între criteriile clinice şi rezultatele scalelor standardizate în diagnosticul diferenţial a copiilor de vârstă mică cu tulburări de vorbire şi limbaj şi TSA. Material şi metode. Au fost evaluaţi 50 de copii cu vârste între 18 şi 48 de luni cu repartizarea în două grupe- TVL şi TSA. Copii au fost examinaţi prin evaluări clinice şi prin aplicarea instrumentelor standardizate: testul M-CHAT pentru screening-ul TSA şi teste lingvistice DAYC-2 şi Păunescu. Testul statistic folosit este t student. Rezultate. Din 50 de copii, 60% au fost diagnosticaţi cu TVL, iar 40% cu TSA.Manifestările clinice ce au fost determinate:1) contactul vizual redus- 85% cu TSA şi 10% cu TVL (p<0,05). Concluzii. Diferenţele semnificative atât în scorurile de screening,manifestările comportamentale şi evaluările lingvistice, suţin utilitatea combinărilor evaluării clinice cu scale standardizate pentru un diagnostic diferenţial corect şi iniţierea precoce a intervenţiei terapeutice.
Introduction. Speech and language disorders (SLD) and autism spectrum disorder (ASD) are common neurodevel-opmental disorders, with overlapping clinical manifestations (language difficulties, social deficits), but also specific ones (repetitive behaviors, restricted interests), which complicates differential diagnosis. Objective. Evaluation of the concordance between clinical criteria and standardized scale results in the differential diagnosis of young children with speech and language disorders and ASD. Material and methods. A total of 50 children aged between 18 and 48 months were evaluated and assigned to two groups - SLD and ASD. Children underwent clinical assessment and standardized tools were applied: M-CHAT for ASD screening and language evaluation through the DAYC-2 and Pâunescu tests. The statistical method used was the Student's T-test. Results. Out of 50 children, 60% were diagnosed with speech and language disorders (SLD) and 40% with ASD. Key clinical features were: 1) reduced eye contact in 85% of ASD cases vs. 10% in SLD (p<0.05). Conclusion. The significant differences in both screening scores, behavioral manifestations, and linguistic assessments support the utility of combining clinical assessment with standardized scales for a correct differential diagnosis and early initiation of therapeutic intervention.
