P.060 A case of mononeuritis multiplex complicating Epstein-Barr virus infection
Bibliographic record
Abstract
Background: Mononeuritis multiplex is a painful, asymmetrical peripheral neuropathy involving motor and sensory nerves. This neurological condition is classically associated with systemic diseases such as connective tissue disorders, vasculitis, hematologic diseases including cryoglobulinaemia and amyloidosis. It has also been reported infrequently as a paraneoplastic or post infectious disorder. Methods: Case report Results: We are reporting a case of a 35-year-old man who presented with mononeuritis multiplex following an infectious mononucleosis associated with a mixed cryoglobulinemia. He was treated with IVIG, IV pulse steroid and a prednisone taper over 7 months. Later on, he had a nerve transfer from FCR (flexor carpi radialis) to ECRB (extensor carpi radialis brevis) and PIN (posterior interosseous nerve) due to complete denervation of the PIN without evidence of spontaneous recovery. Conclusions: Acute EBV infection should be suspected in the setting of mononeuritis multiplex. This is the first reported case of nerve transfer for this type of nerve injury.
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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) | 0.003 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.002 | 0.001 |
| Science and technology studies | 0.003 | 0.002 |
| Scholarly communication | 0.001 | 0.002 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.005 | 0.003 |
| Insufficient payload (model declined to judge) | 0.006 | 0.002 |
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".