A Rare Combination Of Endocrinopathies Associated With Camurati-Engelmann Disease
Bibliographic record
Abstract
A case report of a patient with the rare autosomal dominant Camurati- Engelmann Disease (CED) associated with primary hypothyroidism, hypogonadotrophic hypogonadism and central diabetes insipidus is discussed. A thirty-five year old female with CED followed up for the past 27 years in our institution has pathognomonic musculo-skeletal features and multiple endocrinopathies. The clinical history, examination, ultrasound and laboratory investigations over the 27 years were evaluated. Conclusions: The clinical presentation of patients with CED is extremely variable. Although the endocrine glands are rarely affected, it is important to understand that endocrine dysfunction may manifest at different time in the progression of CED and respond well to replacement therapies. Taken together with the unpredictable genotype-phenotype correlations, regular endocrine, neurological and cardiac assessments as well as screening for other endocrinopathies are necessary. To the best of our knowledge, this is the first case of CED presented with a combination of the above three endocrinopathies reported in the literature. Please click PDF below to download the full paper...
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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) | 0.002 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.002 | 0.001 |
| Science and technology studies | 0.002 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.002 | 0.001 |
| Insufficient payload (model declined to judge) | 0.002 | 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 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".