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diagnosis of exclusion : ウィキペディア英語版
diagnosis of exclusion
A diagnosis of exclusion (''per exclusionem'') is a diagnosis of a medical condition reached by a process of elimination, which may be necessary if presence cannot be established with complete confidence from history, examination or testing. Such elimination of other reasonable possibilities is a major component in performing a differential diagnosis.
The largest category of diagnosis by exclusion is seen among psychiatric disorders where the presence of physical or organic disease must be excluded as a prerequisite for making a functional diagnosis. Diagnosis by exclusion tends to occur where scientific knowledge is scarce, specifically where the means to verify a diagnosis by an objective method is absent. As a specific diagnosis cannot be confirmed, a fall back position is to exclude that group of known causes that may cause a similar clinical presentation.
==Examples==
An example of such a diagnosis is "fever of unknown origin": to explain the cause of elevated temperature the most common causes of unexplained fever (infection, neoplasm, or collagen vascular disease) must be ruled out.
Other examples include:
* Behcet's Disease
* Bell's Palsy
* Schizophrenia
* Tolosa-Hunt syndrome
*Irritable bowel syndrome
*New daily persistent headache
*Sudden infant death syndrome
* Burning mouth syndrome.

抄文引用元・出典: フリー百科事典『 ウィキペディア(Wikipedia)
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