Report: Fever Improves Autism Symptoms

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Report: Fever Improves Autism Symptoms
Fever Associated With Less Hyperactivity; Reason For Improvement Not Understood

(WebMD) Children with autism appear to improve when they have a fever, according to intriguing new research that could lead to a better understanding of the disorder.

Fever was associated with less hyperactivity, improved communication, and less irritability in the study involving children with autism and related disorders.

Anecdotal reports of improvements in autism symptoms related to fever have circulated for years, but the research represents the first scientific investigation into the observed association.

While kids with autism might be expected to be calmer and less hyperactive when they have fevers, the improvement in communication and socialization seen in the study suggests that fever directly affects brain function, pediatric neurologist Andrew Zimmerman, MD, of Baltimore's Kennedy Krieger Institute, tells WebMD.

"The improvement in symptoms may mean the underlying wiring of the brain (of an autistic child) develops more normally than we have thought," he says, adding that the problem may lie with the connections within the brain responsible for sending information.

"Somehow fever appears to be changing the ability to make these connections," he says.

4 Out Of 5 Kids With Fever Improved

The study involved 30 children with autism spectrum disorders, including autism, who were observed by parents during and immediately after experiencing a fever of 100.4 degrees or greater, and seven days after being without fever.

The parents were asked to complete standardized behavior questionnaires during the three time points designed to assess behavior. Parents of children with autism spectrum disorders who did not experience fever were also surveyed at related time points.

More than 80% of the children with fever in the study showed some improvement in behavior during temperature elevations, the researchers reported in the December issue of the journal Pediatrics.

Further analysis showed that behavior improvement was not dependent on the degree of fever.

Zimmerman and lead researcher Laura K. Curran, PhD, tell WebMD that more study is needed to confirm the findings.

"We'd like to interview more families to better understand this," Zimmerman says. "And at the chemical level, we'd like to have blood samples from children while they have fever to analyze what is going on."

Autism, Fever, and Cytokines

One theory is that fever may affect brain function at the cellular level by influencing the production of immune-system signaling proteins known as cytokines.

If this proves to be the case, the finding could result in treatments for autism spectrum disorders that target cytokine expression.

"That would be a long way off, but it is certainly within the realm of possibility," Zimmerman says.

Marguerite Kirst Colston says the new research is significant because it is one of the first to examine the symptoms parents deal with in biological terms.

Colston is a spokeswoman for the American Society of Autism (ASA) and the mother of a 7-year-old son with autism.

"We are hearing more and more about this from parents," she tells WebMD. "Children seem calmer when they are sick and they seem to tolerate closeness and touch better. We have all sort of marveled at this."

Colston hopes the research will lead to more studies that look beyond the genetics of autism.

"The more we study what happens biologically, as well as genetically, the more insight we may have into how to treat children to improve their symptoms," she says. "I would like to see us focus on questions like, 'What helps these kids learn?' and 'What makes them feel better?' 'What do people with autism need to live well?' I'm a parent who has tried a lot of things, and I have no idea."



By Salynn Boyles
Reviewed by Louise Chang
©2007 WebMD, Inc. All rights reserved.

maybe autistics like heat?

I like Iceland's Blue Lagoon. But I am prone to heat exhaustion if I stay in too long.

i like the cold. i cant stand heat, i lived in a desert for some time and it was terrible. warm is nice though

Perhaps the children appear calmer and tolerate touch more due to the sedatory effects of the illness and the need to be comforted when ill. I preferred comfort when I was little, the drowsiness of a viral infection did make me "calmer", and less anxious than I was; the illness itself made me feel yuck however (I'd prefer anxiety, thanks).

Whilst it's not [completely] related: hurting myself when I was four and requiring stitches removed me from my shell and induced speech, the first time I uttered a sentence. Severe emotional response did such in my case.

That's very interesting; another Autism- Immune-system connection.
Hmm! What do cytokines do?
I know i moved to france, the south of, for the sun. Both for light and heat. Since moving slightly north, to foothills of alps, have been feeling the loss of both. And hibernating increasingly.
Hmm!
But fever; i know i HATE having colds, and fever freaks me out. Get very emotional, and lost.
Like hot indian meals tho ! ! And GARLIC!
What ARE cytokines?

Thank you very much for the link/quote, Sinsboldly.

Cytokines are immune hormones. There are lots of them and they are intricately linked to each other.

Interferon is the most widely known cytokine. It mobilizes certain defences (against some infections and cancers) but it can also cause problems in excess. The cytokines are also linked to the neurotransmitters. Too much interferon can disturb serotonin and cause anxiety disorders, for example.

I hope that if curebies start inducing fevers that it's at least done in a very controlled setting. Fevers in children can cause seizures (febrile seizures). Plus, the method of inducing the fever could have other effects.

I have first-hand experience with this, and have wondered about it for years.

I can honestly say that the fever/better socialization link for my son had little to do with need for comfort/cuddling/closeness, etc., because he was already that way, so that is not what was unusual.

What was unusual was that he just plain seemed to make more sense, was more involved in conversation with the family, and understood our jokes more. It honestly seemed to help his comprehension level. This was very noticeable. As soon as the fever was over, he was back to his old self again.

This was more of a common thing when he was little. I haven't noticed big changes since he is beginning to be a teenager and has had fevers.

Kris

The most noticeable aspect to fever-induced NTness is the communication. Children that are hardly verbal may speak coherently during a fever. That's what has happened to my son. I would never induce a fever or illness on him because I'm too paranoid about loss of appetite. Until this summer, he was always thin and illness made me just crazy with worry.
The cuddly aspect isn't different because my son actually is more affectionate when he's dealing with sensory issues (his allergies, overstimulated, overstressed). He's calmer and keeps to himself when ill with fever.