Pathognomonic

Source: Wikipedia, the free encyclopedia.

Pathognomonic (rare synonym pathognomic

symptom
"pathognomonic" represents a marked intensification of a "diagnostic" sign or symptom.

The word is an adjective of Greek origin derived from πάθος pathos 'disease' and γνώμων gnomon 'indicator' (from γιγνώσκω gignosko 'I know, I recognize').

Practical use

While some findings may be classic, typical or highly suggestive in a certain condition, they may not occur uniquely in this condition and therefore may not directly imply a specific diagnosis. A pathognomonic sign or symptom has very high

positive predictive value and high specificity but does not need to have high sensitivity: for example it can sometimes be absent in a certain disease, since the term only implies that, when it is present, the doctor instantly knows the patient's illness. The presence of a pathognomonic finding allows immediate diagnosis, since there are no other conditions in the differential diagnosis.[citation needed
]

Singular pathognomonic signs are relatively uncommon. Examples of pathognomonic findings include

Negri bodies within brain tissue infected with rabies, or a tetrad of rash, arthralgia, abdominal pain and kidney disease in a child with Henoch–Schönlein purpura, or succinylacetone for Tyrosinemia Type I.[citation needed
]

As opposed to

]

In contrast, a test with very high

Examples

Disease Sign
Cytomegalovirus infection
inclusion bodies[4][5]
Hodgkin's lymphoma

microscopy

Lyme disease
Erythema chronicum migrans[6]
Inclusion body myositis Filamentous material seen in inclusion bodies under electron microscopy
Hypocalcemia Trousseau sign and Chvostek sign
Tetanus or Strychnine poisoning Risus sardonicus
Measles Koplik's spots
Wilson's disease Kayser–Fleischer ring
Diphtheria Pseudomembrane on tonsils, pharynx and nasal cavity
Chronic hemorrhagic pancreatitis
Grey-Turner's sign
(ecchymosis in flank area)
Cholera
Rice-watery stool
Enteric fever Rose spots in abdomen
Meningitis Kernig's sign and Brudzinski's sign
Angina pectoris
Levine's sign (hand clutching of chest)[7]
Patent ductus arteriosus Machine-like murmur
Parkinson's disease[citation needed] Pill-rolling tremors[citation needed]
Whipple's disease Oculo-masticatory myorhythmia
Acute myeloid leukemia Auer rod
Multiple sclerosis Bilateral internuclear ophthalmoplegia
Pericarditis Pericardial friction rub
Rheumatic fever
Aschoff bodies
Rabies
negri bodies
Gout
Tophi
MASC ETV6-NTRK3
Acute tubular necrosis Muddy brown casts
Granulosa cell tumour
Call-Exner bodies
Malakoplakia Michaelis–Gutmann bodies
Narcolepsy (with cataplexy) Cataplexy
Endodermal sinus tumor Schiller–Duval body
Atrial flutter Flutter waves[8]
Sickle cell disease Vaso-occlusive crises[9]

See also

References

  1. ^ "Pathognomic". Oxford Dictionaries. Archived from the original on May 27, 2018.
  2. S2CID 20103607
    .
  3. .
  4. .
  5. .
  6. .
  7. .
  8. .
  9. .

External links