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 |