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. 2022 Nov 30;14(11):e32065. doi: 10.7759/cureus.32065

Table 2. Categorization of the diagnoses for Darwin’s Illness, arranged for discussion.

Diagnoses for Darwin’s illness grouped according to category. For completeness, some diagnoses appear in more than one category but are only discussed once in the text.

Category Proposed diagnosis
Diagnoses made by Darwin and by his doctors, colleagues, and contemporaries Nervous dyspepsia, aggravated dyspepsia, suppressed gout, malingering (“shamming”), waterbrash, sequel
Conditions supposedly acquired during his voyage with the HMS Beagle Sequel to seasickness, voyage with the HMS Beagle, a sequel to prolonged illness Valparaiso, brucellosis, Chagas’ disease, malaria
Psychogenic, psychological diagnoses Neurasthenia, anxiety neurosis, psychoneurosis, depressive psychosis; psychogenic – repressed hostility toward father, latent homosexuality, abhorrence to slavery; unresolved grief for mother’s death, father-son bonding; panic disorder, obsessive-compulsive disorder, post-traumatic stress disorder; Asperger’s syndrome
Intestinal disease and disorders Diaphragmatic hernia, lactose intolerance (“systemic”), Crohn’s disease, cyclic vomiting (CVS), Helicobacter infection, irritable bowel syndrome (IBS)
Infections Pyorrhea, brucellosis, Chagas’ disease, malaria, Helicobacter infection, chronic borreliosis (Lyme disease)
Diagnoses, alternative medicine Pyroluria, Candida overload
Miscellaneous Refractive error, arsenic poisoning, porphyria, lupus erythematosus
Correct, but incomplete diagnoses Supraventricular tachycardia, chronic fatigue, adrenal insufficiency, panic disorder, Ménière’s disease, atopic dermatitis, cyclic vomiting (CVS), Helicobacter infection
Preferred diagnosis Maternally inherited adult-onset pathological mtDNA mutation, MELAS type