Significant Muscle Hemorrhage Associated With Low-Molecular-Weight Heparin Use in Dermatomyositis: A Case Report
Why this work is in the frame
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Bibliographic record
Abstract
Dermatomyositis is a rare systemic inflammatory disease with characteristic skin features and muscular involvement. Few cases of hemorrhagic myositis with dermatomyositis have been reported worldwide. Here, we report a case of a 43-year-old man with dermatomyositis, which was treated with steroids and low-molecular-weight heparin. During the treatment course, he complained of acute left thigh pain. Computed tomography of the lower extremity showed hemorrhage in the left iliopsoas, iliacus, thigh muscle, and retroperitoneum. We discontinued heparin treatment and applied a splint with bed rest. Ultimately, he had a successful recovery. Patients with dermatomyositis may have an intrinsic risk of life-threatening muscle hemorrhage, and anticoagulation treatment may induce significant muscle hemorrhage in such patients.
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Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.002 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
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 it