Pancreatitis, Panniculitis, and Polyarthritis Syndrome Presenting With Gouty Arthritis: A Case Report
Bibliographic record
Abstract
Pancreatitis, panniculitis, and polyarthritis (PPP) syndrome combined with gouty arthritis has never been reported in the literature. A 49-year-old male with a history of heavy alcohol abuse for at least 20 years, chronic pancreatitis, and gouty arthritis, presented with pain, swelling, and erythema involving the right thumb, right 4th metatarsophalangeal (MTP) joint, and left heel for one week. Following examination of the synovial fluid positive for monosodium urate (MSU) crystals, he was treated for gouty arthritis and the polyarthritis progressed. A skin biopsy revealed pancreatic panniculitis. Abdominal computed tomography (CT) also showed swelling of the pancreas with peripancreatic fat infiltrations. The secondary arthrocentesis was performed and the synovial fluid showed amylase 1,970 U/L, lipase 1,260 U/L, cholesterol 79 mg/dL, and triglycerides 78 mg/dL. We report this case to remind physicians that the first manifestation of PPP syndrome can be mistaken for gouty arthritis. doi:10.4021/jmc178w
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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 | 0.001 | 0.005 |
| Meta-epidemiology (narrow) | 0.003 | 0.003 |
| Meta-epidemiology (broad) | 0.002 | 0.002 |
| Bibliometrics | 0.004 | 0.003 |
| Science and technology studies | 0.004 | 0.003 |
| Scholarly communication | 0.003 | 0.004 |
| Open science | 0.001 | 0.003 |
| Research integrity | 0.008 | 0.003 |
| Insufficient payload (model declined to judge) | 0.004 | 0.002 |
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".