Ginier-Gillet Mathieu
Alumnus of the Grenoble Alpes Faculty of Medicine, La Tronche, France.
Biopsychosoc Med. 2023 Nov 13;17(1):38. doi: 10.1186/s13030-023-00292-3.
The management of low-grade fever in adults has not been codified. This gap is related not only to the numerous possible aetiologies but also to the difficulty of escaping the monocausal model of diseases. This article explores the complex issue of positive signs in 'psychogenic fever' through Reimann's 1930s series. The discussion emphasises Canguilhem's positions regarding vital signs and proposes (1) a semantic clarification of 'habitual hyperthermia' and (2) an amendment of the Belgian diagnostic criteria based on the concept of functional disorder. This paper also suggests following Peirce's pragmatism in the face of an uncommon clinical picture.
成人低热的管理尚未形成规范。这一差距不仅与众多可能的病因有关，还与摆脱疾病单因模型的困难有关。本文通过赖曼20世纪30年代的系列研究探讨了“心因性发热”中阳性体征这一复杂问题。讨论强调了康吉莱姆关于生命体征的观点，并提出（1）对“习惯性体温过高”进行语义澄清，以及（2）基于功能障碍概念对比利时诊断标准进行修订。面对不常见的临床情况，本文还建议遵循皮尔士的实用主义。
