An Uncommon Clinical Case with Fanconi Syndrome, Acanthosis Nigricans and Hyperinsulinemia
Bibliographic record
Abstract
Fanconi syndrome (FS) is a disease of the proximal renal tubules of the kidney in which glucose, amino acids, uric acid, phosphate, and bicarbonate are passed into the urine, instead of being reabsorbed. Laboratory findings are important for the diagnosis such as hyponatremia, hypopotassemia, hypocalcemia, hypophosphatemia, glucosuria, proteinuria, and metabolic acidosis. In this presentation, the patient admitted to the hospital with polyuria, polydypsia, weakness of the extremity muscles, and axiller brown colored cutaneous lesions. Blood and urine laboratory test results were consistent with FS. Besides, hyperglycemia and hyperinsulinemia were determined as an indicator of diabetes mellitus. Axillary skin lesions were described as acanthosis nigricans. This case was presented to point out the coexistence of renal proximal tubule dysfunction, hyperinsulinemia, and acanthosis nigricans as an unusual clinical feature in the literature. J Med Cases • 2013;4(12):831-833 doi: http://dx.doi.org/10.4021/ jmc1587w
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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 | 0.004 |
| Meta-epidemiology (narrow) | 0.003 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.003 | 0.003 |
| Science and technology studies | 0.003 | 0.002 |
| Scholarly communication | 0.002 | 0.003 |
| Open science | 0.001 | 0.003 |
| Research integrity | 0.006 | 0.003 |
| 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".