Case – Malakoplakia in a 58-year-old male following living donor renal transplantation
Bibliographic record
Abstract
Malakoplakia is a granulomatous disease originally named by Von Hansemann in 1903 following the first description of the condition by Michaelis and Gutmann one year prior. 1 The name was derived from the macroscopic appearance of ‘soft plaques’ (which in Greek translates to malakos plakos). 1 Malakoplakia is a rare pseudotumor that arises in the context of recurrent infections, particularly in the immunocompromised setting. 2 It is most commonly found in the urinary tract but has been reported in other organs including the gastrointestinal tract, skin, and lungs. 3 While the exact pathophysiology of the disease state remains unknown, it is thought to involve dysfunctional tissue macrophages termed von Hansemann cells. 1 Histologically, Michaelis-Gutmann bodies are basophilic cellular inclusions and are pathognomonic for the diagnosis of malakoplakia. 2
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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 | 0.002 |
| Bibliometrics | 0.004 | 0.003 |
| Science and technology studies | 0.005 | 0.002 |
| Scholarly communication | 0.002 | 0.003 |
| Open science | 0.002 | 0.003 |
| Research integrity | 0.009 | 0.006 |
| Insufficient payload (model declined to judge) | 0.004 | 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".