Two-Year Treatment Tracking of Dermatomyositis Patient Complicated With Massive Pericardial Effusion and Stubborn Dysphagia: A Case Report and Literature Review
Bibliographic record
Abstract
Dermatomyositis is a connective tissue disease mainly involving striated muscles and skins. It is rare to complicate with massive pericardial effusions. In this article, we tracked a 2-year treatment history of a dermatomyositis patient with rare complications. In the late stage of the disease, massive pericardial effusion was combined. Complications such as dysphagia, pulmonary hypertension, Sjogren’s syndrome and anticardiolipin antibody syndrome posed great challenges to treatment. Massive pericardial effusion and pulmonary failure resulted in death of the patient, and anticardiolipin antibody syndrome was also one of the possible important causes of death. Good compliance could help control the disease. Massive pericardial effusion should be punctured in time. When combined with dysphagia, adequate intravenous immune globulin (IVIG) was the key to treatment. J Med Cases. 2018;9(12):394-399 doi: https://doi.org/10.14740/jmc3202
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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 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.003 | 0.002 |
| Science and technology studies | 0.002 | 0.001 |
| Scholarly communication | 0.002 | 0.002 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.003 | 0.002 |
| 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".