Retrospective diagnosis

Source: Wikipedia, the free encyclopedia.

A retrospective diagnosis (also retrodiagnosis or posthumous diagnosis) is the practice of identifying an illness after the death of the patient (sometimes a historical figure) using modern knowledge, methods and disease classifications.[1][2] Alternatively, it can be the more general attempt to give a modern name to an ancient and ill-defined scourge or plague.[3]

Historical research

Retrospective diagnosis is practised by medical historians, general historians and the media with varying degrees of scholarship. At its worst it may become "little more than a game, with ill-defined rules and little academic credibility".

historian of science at Haverford College, claims that retrodiagnosing famous individuals with autism in the media is pointless, as historical accounts often contain incomplete information.[6]

The understanding of the history of illness can benefit from modern science. For example, knowledge of the insect vectors of malaria and yellow fever can be used to explain the changes in extent of those diseases caused by drainage or urbanisation in historical times.[3]

The practice of retrospective diagnosis has been applied in

Squirrel Nutkin may have had Tourette syndrome[7] and Tiny Tim could have had distal renal tubular acidosis (type I).[8]

Postmortem diagnosis

Post-mortem diagnosis is considered a research tool, and also a quality control practice

congenital cytomegalovirus infection in a patient who had later developed a central nervous system disorder.[12]

Examples

Retrospective diagnoses of autism

There have been many published speculative retrospective diagnoses of autism of historical figures. English scientist

cottage industry of finding that everyone has Asperger's."[25]

See also

References

  1. ^ "MedTerms: Retrodiagnosis". MedicineNet.com. 2004-01-12. Archived from the original on 2012-08-07. Retrieved 2008-08-08.
  2. ^ .
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  5. ^ .
  6. ^ Hayton, Darin. "Isaac Newton was Autistic, or Not". Darin Hayton, Historian of Science. Retrieved 7 May 2019.
  7. PMID 8541765.{{cite journal}}: CS1 maint: multiple names: authors list (link
    )
  8. .
  9. ^ S. Suryavanshi, J. D. Gomez, A. Mulla, J. Kalra, "Prevalence of diagnostic discordance: A retrospective analysis of autopsy findings and clinical diagnoses. Vol 30, No 4 (2007) Supplement – Royal College Abstracts, Official college of the canadian society for clinical investigation
  10. PMID 1933005
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  15. ^ a b Edge, Joanne. "Diagnosing the past". Wellcome Collection. Retrieved 18 February 2019.
  16. PMID 5323262
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  18. S2CID 39957366. Archived from the original
    (PDF) on 2008-03-07. Retrieved 2008-03-02.
  19. .
  20. ^ Shuster, Sam (2008). "The nature and consequence of Karl Marx's skin disease". British Journal of Dermatology. Blackwell Publishing Ltd. 158 (1).
  21. S2CID 6835422
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  22. .
  23. ^ Sacks, Oliver. Henry Cavendish: An early case of Asperger's syndrome? Archived 1 September 2007 at the Wayback Machine Neurological Foundation of New Zealand (Reprinted with permission from the American Neurological Association). Retrieved on 28 June 2007.
  24. S2CID 32979125
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  25. ^ a b Goode, Erica (9 October 2001). "CASES; A Disorder Far Beyond Eccentricity". The New York Times. Retrieved 26 November 2007.
  26. PMID 12519805
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Further reading