Autism Spectrum Disorder (ASD) is a complex heterogeneous clinical entity with many overlaps and comorbidities with other psychiatric and developmental disorders. Adults with ASD lack adequate access to facilities and supports. This article describes the clinical profile of the first 34 patients admitted to Roozbeh adult ASD clinic during a 12-month period. Twenty-eight patients were male, all were single, 22 patients were unemployed and 26 were living with their families of origin. Obsession, inattention and sexual problems were the most common chief complaints. Multifaceted and gender-specific presentations results in misdiagnoses. Knowledge and training of the mental health professionals on adult ASD seem to be seriously inadequate. There is virtually no other specialized clinical and rehabilitation facilitates to help this vulnerable group of patients in Iran

自闭症谱系障碍 (ASD) 是一种复杂的异质临床实体，与其他精神和发育障碍有许多重叠和合并症。患有 ASD 的成年人缺乏足够的设施和支持。本文描述了在 12 个月期间入住 Roozbeh 成人 ASD 诊所的前 34 名患者的临床概况。28名患者为男性，均为单身，22名患者无业，26名与原籍家庭生活。痴迷、注意力不集中和性问题是最常见的主要抱怨。多方面和针对特定性别的陈述会导致误诊。精神卫生专业人员对成人 ASD 的知识和培训似乎严重不足。