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Publication Name World Journal of Clinical Pediatrics
Manuscript ID 117274
Country Egypt
Category Pediatrics
Manuscript Type Systematic Reviews
Article Title Medical treatment of autism spectrum disorder in children: Current evidence, controversies, and clinical challenges
Manuscript Source Invited Manuscript
All Author List Yousif M Elbeltagi, Ahmed Osama Abd Rab El Rasool, Ahmed Mohammed Elkashlan and Mohammed Al-Beltagi
Funding Agency and Grant Number
Corresponding Author Mohammed Al-Beltagi, Chairman, Consultant, Full Professor, MD, PhD, Senior Researcher, Department of Pediatrics, Faculty of Medicine, Tanta University, 1 Hassan Radwan Street, Tanta 31511, Algharbia, Egypt. mohamed.elbeltagi@med.tanta.edu.eg
Key Words Autism spectrum disorder; Pharmacological; Pediatric; Risperidone; Aripiprazole; Fecal microbiota transplantation; Microbiota-gut-brain axis; Precision medicine; Methylcobalamin; Folinic acid
Core Tip The core finding of this systematic review is that the medical management of autism spectrum disorder is primarily focused on controlling debilitating comorbid symptoms (e.g., aggression, gastrointestinal distress) rather than improving core social deficits, for which no medication is approved. The field is rapidly transitioning from a broad, empirical treatment approach to one of precision medicine. This shift is driven by evidence that highly targeted interventions, such as microbiota transfer therapy for children with gastrointestinal abnormalities.
Citation Elbeltagi YM, Abd Rab El Rasool AO, Elkashlan AM, Al-Beltagi M. Medical treatment of autism spectrum disorder in children: Current evidence, controversies, and clinical challenges. World J Clin Pediatr 2026; In press
Received
2025-12-03 01:19
Peer-Review Started
2025-12-03 01:19
First Decision by Editorial Office Director
2025-12-12 09:07
Return for Revision
2025-12-12 09:07
Revised
2025-12-13 18:09
Publication Fee Transferred
Second Decision by Editor
2026-02-24 02:45
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-02-24 09:33
Articles in Press
2026-02-24 09:33
Edit the Manuscript by Language Editor
Typeset the Manuscript
ISSN 2219-2808 (online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Copyright ©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
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