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Autism is a brain development disorder that shows symptoms before a child is three years old and has a steady course with no remission. Its characteristic signs are impairments in social interaction and communication, as well as restricted and repetitive behavior. These characteristics distinguish autism from milder pervasive developmental disorders (PDD) or autism spectrum disorders (ASD), and reflect Leo Kanner's first descriptions of autism, which emphasized "autistic aloneness" and "insistence on sameness". Heritability contributes about 90% of the risk of a child developing autism, but the genetics of autism are complex and typically it is unclear which genes are responsible. In rare cases, autism is strongly associated with agents that cause birth defects. Many other causes have been proposed, such as exposure of children to vaccines; these proposals are controversial and the vaccine hypotheses have no convincing scientific evidence. (More...)