Antiphospholipid Syndrome with Cutaneous Necrotic Lesion of the Lower Limbs
Bibliographic record
Abstract
To the Editor: A 71-year-old woman presented with a 7-day history of a tender rash and necrosis on both shins. Six months prior to admission, she first noticed intermittent occurrence of purpura on her legs. She had been taking non-steroidal antiinflammatory drugs (NSAID) for her joint pain for 2 months and was not taking any anticoagulants. She was a nonsmoker with no history of miscarriages or allergies. Her history was unremarkable and no family history of autoimmune diseases, cancer, diabetes, or coagulopathies was elicited. On examination, she was afebrile with no cardiovascular, respiratory, or abdominal findings. On the lower limbs, there was bilateral involvement with skin necrosis on the medial distal third, more pronounced on the left, which was surrounded by purpura and ecchymosis. In addition, there were erythema and purpura, more confluent on the dorsum of the feet, but also scattered on both lower limbs (Figure 1). Routine investigations including full blood count, urea and electrolytes, and … Address correspondence to Prof. Zheng; E-mail: jie-zheng2001{at}126.com
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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 | 0.004 |
| Meta-epidemiology (narrow) | 0.002 | 0.001 |
| Meta-epidemiology (broad) | 0.002 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.002 | 0.001 |
| Scholarly communication | 0.001 | 0.002 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.007 | 0.005 |
| Insufficient payload (model declined to judge) | 0.003 | 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".