Hemophagocytic Syndrome In Association With Systemic Lupus Erythematosus and Rheumatoid Arthritis
Bibliographic record
Abstract
Hemophagocytic syndrome (HPS) is a potentially life-threatening complication of rheumatic disorders characterized by the infiltration of morphologically benign hemophagocytic macrophages in the bone marrow and in various other organs. It is known to be associated with several conditions, such as viral or bacterial infection, malignancies, and autoimmune diseases such as systemic lupus erythematosus (SLE) and adult onset Still’s disease and less commonly with rheumatoid arthritis(RA). We report a case of a 59-year-old lady known to have SLE and RA who developed worsening anemia, thrombocytopenia, coagulopathy, renal failure and was diagnosed with hemophagocytic syndrome. In spite of aggressive supportive management, intravenous steroids and immunoglobulins, the patient eventually died due to intracranial bleeding. Although cases of HPS have been previously described in association with SLE or RA, this is the first case of HPS to our knowledge to be diagnosed in a patient who had both RA and SLE. doi:10.4021/jmc589w
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.003 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.002 | 0.001 |
| Science and technology studies | 0.002 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.002 | 0.002 |
| Insufficient payload (model declined to judge) | 0.004 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".