Methyldopa Hepatotoxicity: A Paradoxical High-Risk Pregnancy
Bibliographic record
Abstract
Alpha methyldopa is one of the preferred medications for hypertension control in pregnant women because of its low teratogenic profile. However, when pregnant women on this medication develop an acute or chronic liver damage, methyldopa is not thought to be responsible. At 18 weeks gestation of a high-risk pregnancy, a patient with chronic hypertension controlled on methyldopa 500 mg three times daily, presented with jaundice, dark-colored urine and elevated liver function enzymes. Following worsening symptoms, inconclusive radiological and negative immunological laboratory investigations, she was hospitalized and a diagnosis of drug-induced hepatotoxicity was confirmed with a liver biopsy. Her symptoms resolved with withdrawal of the offending medication and prednisone taper, which led to diabetes mellitus in pregnancy. Paradoxically, following the diagnosis and discontinuation of methyldopa, the patients’ blood pressure remained controlled off antihypertensives. J Clin Gynecol Obstet. 2015;4(3):271-274 doi: http://dx.doi.org/10.14740/jcgo343w
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How this classification was reachedexpand
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 | 0.008 | 0.043 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.001 |
| Science and technology studies | 0.000 | 0.001 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.002 | 0.005 |
| 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 itClassification
machine, unvalidatedMachine predicted; both teacher heads agree on what is shown here.
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".