{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T12:22:18Z","timestamp":1768479738707,"version":"3.49.0"},"reference-count":8,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>To establish the diagnosis of virtually any disease, the clinician must combine a variety of information. Often emphasised in this context is thorough medical history-taking including information on exposure to factors leading to or being associated with the disease in question. Continuous assessment of all available information is of utmost importance, as fixation on single details can be misguiding with inappropriate consequences in both the diagnostic and therapeutic approach. This case report presents how an atypical medical history led to a delay in the diagnosis of malignant pleural mesothelioma due to a low a priori likelihood of the disease because of non-exposure to asbestos. We highlight the fact that postrationalisation and attempts to renew a diagnostic approach must be carried out each time diagnostic dilemmas emerge, and when some or all diagnostic clues disagree.<\/jats:p>","DOI":"10.1136\/bcr-2012-007491","type":"journal-article","created":{"date-parts":[[2013,4,10]],"date-time":"2013-04-10T00:21:29Z","timestamp":1365553289000},"page":"bcr2012007491","source":"Crossref","is-referenced-by-count":3,"title":["Diagnostic delay in malignant pleural mesothelioma due to physicians fixation on history with non-exposure to asbestos"],"prefix":"10.1136","volume":"2013","author":[{"given":"Poul Henning","family":"Madsen","sequence":"first","affiliation":[{"name":"Department of Respiratory Medicine, Odense University Hospital, Odense, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian B","family":"Laursen","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine, Odense University Hospital, Odense, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jesper R\u00f8mhild","family":"Davidsen","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine, Odense University Hospital, Odense, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2013,4,9]]},"reference":[{"key":"2025082800554924000_2013.apr09_1.bcr2012007491.1","unstructured":"Mark BM . Descion-making in clinical medicine. In: Kasper DL Fauci AS Longo DL Braunwald E Hauser SL Jameson JL , eds. Harrison's principles of internal medicine. 16th edn. 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BMJ Case Rep. Published: 1 Dec 2011. doi:10-1136\/bcr.10.2011.4932.","DOI":"10.1136\/bcr.10.2011.4932"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2012-007491","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T07:56:06Z","timestamp":1756367766000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2012-007491"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,4,9]]},"references-count":8,"alternative-id":["10.1136\/bcr-2012-007491"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2012-007491","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,4,9]]}}}