Erythema Papulosa Semicircularis Recidivans: A New Reactive Dermatitis?
Bibliographic record
Abstract
BACKGROUND: Nine patients with recrudescent and centrifugally expanded papuloerythematous eruptions were observed in our outpatient department during the recent 8 years. The patients were all young and middle-aged men presenting with characteristic skin lesions and relapsing each year in the warm humid season. Such an observation has not yet been described in the English literature. OBJECTIVES: The objective of this study was to describe the clinical characteristics and explore the possible etiologies of our cases. In addition, differential diagnosis with other common figurate erythemas was also reviewed and discussed. METHODS: In 5 of the patients, skin-prick testing was performed with common airborne and food allergens, and skin patch testing with the Chinese baseline series of contact allergens was performed, along with histopathologic examinations. RESULTS: The skin findings in our patients were conspicuous in their papular characteristics of the borders, semicircular arrangement, male predominance, and yearly crescendo of recurrence in warm seasons. Histopathologic examination showed superficial perivascular dermatitis, whereas skin-prick testing and patch testing showed negative results. CONCLUSIONS: Although the etiology of our cases remains unclear at present, the clinical characteristics make them distinct from other well-described figurate erythemas characterized by annular erythematous lesions. We propose the term erythema papulosa semicircularis recidivans to depict a special form of recurrent papuloerythematous figurate erythema of unknown etiology.
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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 | 0.002 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.000 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.002 | 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".