{"id":"W4416814146","doi":"10.4103/idoj.idoj_390_25","title":"When Rare Meets Risky: Clouston Syndrome with Cutaneous Squamous Cell Carcinoma","year":2025,"lang":"en","type":"article","venue":"Indian Dermatology Online Journal","topic":"Chemotherapy-related skin toxicity","field":"Medicine","cited_by":0,"is_retracted":false,"has_abstract":true,"ca_institutions":"","funders":"","keywords":"Keratoderma; Nail (fastener); Palmoplantar keratoderma; Hyperkeratosis; Onycholysis; Basal cell; Mucocutaneous zone","routes":{"ca_aff":false,"ca_fund":false,"ca_venue":false,"about_ca":true,"invisible_to_affiliation_only":true},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"codex-gemma-dda1882f352a","candidate_categories":["metaepi_narrow"],"consensus_categories":[],"category_scores_codex":[0.0001231687,0.0004188612,0.0008918043,0.000693507,0.0003085881,0.0000484995,0.0003622652,0.000601368,0.0004070942],"category_scores_gemma":[0.00008821397,0.0003430205,0.0002078343,0.0003924144,0.0002694612,0.0001093332,0.00006507771,0.002058807,0.00006566749],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.000325496,"about_ca_system_score_gemma":0.000942369,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.0000493982,"about_ca_topic_score_gemma":0.0001195931,"domain_scores_codex":[0.997537,0.0001889051,0.0007432947,0.0004193408,0.0003752893,0.0007362228],"domain_scores_gemma":[0.9982573,0.0001835308,0.0003775669,0.000532041,0.0002190767,0.0004304768],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"case_report","study_design_gemma":"case_report","study_design_scores_codex":[0.002496632,0.00256556,0.4534015,0.0007339444,0.0007640386,0.4653304,0.00338856,0.0001642071,0.003399832,0.00002774248,0.06157638,0.00615126],"study_design_scores_gemma":[0.009538997,0.000769742,0.03061263,0.0003666202,0.0005169032,0.9276833,0.0005718456,0.0003052478,0.01256612,0.000380027,0.01623253,0.000456075],"study_design_candidate":"case_report","study_design_consensus":"case_report","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9763516,0.002215036,0.0002379646,0.01857293,0.0004323351,0.0004143625,0.00003914771,0.000123726,0.001612952],"genre_scores_gemma":[0.9905119,0.0001060068,0.003820698,0.003333056,0.0001889221,0.000005659762,0.00004663398,0.00007127767,0.001915861],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.4623529,"threshold_uncertainty_score":0.9999022,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.00629838240559446,"score_gpt":0.2442265611924863,"score_spread":0.2379281787868918,"validation_status":"score_only:v0-immature-baseline","note":"Baseline scores from an immature model (maturity gate not passed). Scores rank; they never assert a category."}}