Chronic Hyperpigmented Scaly Plaques—Quiz Case
Why this work is in the frame
A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.
Bibliographic record
Abstract
A 47-year-old black woman of Haitian descent presented with a 20-year history of a persistent nonpruritic rash involving her trunk and the proximal aspect of her legs. Prior lesions had also involved her buttocks and breasts. She had tried several courses of topical steroids, with no improvement. Her medical history was remarkable for Crohn disease, which was in remission. There was no family history of similar skin lesions. Physical examination revealed well-demarcated, circular, scaly, hyperpigmented plaques with an atrophic cigarette paper texture on the trunk, thighs, and buttocks (Figure 1 and Figure 2). The findings of laboratory investigations, including a complete blood cell count, liver function tests, thyroid-stimulating hormone, albumin, and a basic metabolic panel, were normal. A chest x-ray film showed no abnormalities. The results of a potassium hydroxide preparation and a fungal culture were negative. A skin biopsy specimen was obtained from a plaque on the trunk (Figure 3). What is your diagnosis?
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.001 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
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 it