Pathognomonic
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Pathognomonic (often misspelled as pathognomic and sometimes as pathomnemonic) is a term, often used in medicine, that means characteristic for a particular disease. A pathognomonic sign is a particular sign whose presence means that a particular disease is present beyond any doubt. Labelling a sign or symptom "pathognomonic" represents a marked intensification of a "diagnostic" sign or symptom.
The word is an adjective of Greek origin (παθογνωμονικό [σύμπτωμα]), derived from páthos ("πάθος" meaning "disease") and gnōmon ("γνώμον" meaning "judge").
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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 is specific but need not be sensitive: 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, on the other hand, allows immediate diagnosis, since there are no other conditions in the differential diagnosis.
Singular pathognomonic signs are relatively uncommon. Examples of pathognomonic findings include Koplik's spots inside the mouth in measles, the palmar xanthomata seen on the hands of people suffering from hyperlipoproteinemia, or a tetrad of rash, arthralgia, abdominal pain and kidney disease in a child with Henoch-Schönlein purpura.
As opposed to symptoms (reported subjectively by the patient and not measured) and signs (observed by the physician at the bedside on physical exam, without need for a report) a larger number of medical test results are pathognomonic. A example is the hypersegmented neutrophil, which is seen only in megaloblastic anemias (not a single disease, but a set of closely related disease states). More often a test result is "pathognomonic" only because there has been a consensus to define the disease state in terms of the test result (such as diabetes mellitus being defined in terms of chronic fasting blood glucose levels).
Examples
Very few of the examples here are pathognomonic in the true sense of the word. For example, Parkinsonism is not only seen in Parkinson's disease.
See also
References
- ^ Page 268 in: Gibbs, Ronald Darnley; Sweet, Richard L. (2009). Infectious Diseases of the Female Genital Tract (INFECTIOUS DISEASE OF THE FEMALE GENITAL TRACT ( SWEET)). Hagerstwon, MD: Lippincott Williams & Wilkins. ISBN 0-7817-7815-8.
- ^ Mattes FM, McLaughlin JE, Emery VC, Clark DA, Griffiths PD (August 2000). "Histopathological detection of owl's eye inclusions is still specific for cytomegalovirus in the era of human herpesviruses 6 and 7". J. Clin. Pathol. 53 (8): 612–4. PMID 11002765.
External links
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Look up pathognomonic in Wiktionary, the free dictionary. |