diagnosis of exclusion


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A disease or clinical nosology that is rare or unexpected based on the patient’s details and often unresponsive to therapy, the diagnosis of which is seriously considered only when all other possible—potentially treatable conditions—e.g., 'growing pains' or idiopathic midline granuloma—have been completely excluded

diagnosis of exclusion

Decision-making A disease or clinical nosology that is extremely rare, and often unresponsive to therapy, the diagnosis of which is seriously considered only when all other possible–potentially treatable conditions–eg 'growing pains' or idiopathic midline granuloma, have been completely excluded. Cf Working diagnosis.
References in periodicals archive ?
Unfortunately, allergies are a diagnosis of exclusion, so other causes of itchy skin should be excluded before jumping to the conclusion of allergic skin disease.
Noncirrhotic hyperammonemia as a cause of altered mental status remains a diagnosis of exclusion.
There may be a diagnosis of late-onset hypogonadism --it's a diagnosis of exclusion - but it's much lower.
This high-grade pleomorphic malignant mesenchymal neoplasm is a diagnosis of exclusion after other sarcomas and pleomorphic neoplasms have been excluded by histochemistry, immunohistochemistry, electron microscopy, and/or molecular evaluation.
Because it does not have specific laboratory findings, AOSD is a diagnosis of exclusion.
Historically a diagnosis of exclusion, a diagnosis of IBS can now be made on the basis of symptoms alone, in the absence of alarm features such as age of onset greater than 50 years, weight loss, gross hematochezia, systemic signs of infection or colitis, or family history of inflammatory bowel disease.
It is important to recognize that this condition is a diagnosis of exclusion and should be made only after careful exclusion of potential organic causes to avoid inappropriately labeling the patient, which carries significant social, legal, and clinical implications.
2) Nonceliac gluten sensitivity (NCGS) is a diagnosis of exclusion to consider in patients with gluten-induced symptoms that improve on a gluten-free diet but lack genetic, immunologic, and endoscopic markers of celiac disease.
Undifferentiated high-grade sarcoma was the diagnosis of exclusion.
Again, this remains a diagnosis of exclusion by a paediatrician or paediatric gastroenterologist.
Detailed diagnostic evaluation is essential to assess for alternative cardiac (eg, hypertensive cardiomyopathy, valvular heart disease) and noncardiac (eg, pulmonary embolism) etiologies, as PPCM is a diagnosis of exclusion.
CHS should be a diagnosis of exclusion, and specific and adequate history-taking can lead to heightened sensitivity to this possibility.