Diabetic Sclerodactyly Mimicking Limited Sclerosis: Case Report and Review of the Literature
Bibliographic record
Abstract
Diabetes mellitus can be associated with a variety of musculoskeletal conditions. These conditions mostly occur in longstanding and poorly controlled diabetes and are the result of progressive alterations in tissues. Timely recognition of these conditions is of paramount clinical importance as diabetes control helps in preventing progressive deformity and disability, pain control, and maintaining reasonable quality of life. In addition, some of these conditions can be addressed with available treatment modalities. We present a 43-year-old female with a longstanding history of type 1 diabetes mellitus admitted for diabetic ketoacidosis. She had a significant prior history of musculoskeletal conditions. Physical examination findings of her hands revealed thick and tight skin, sclerodactyly, and “prayer sign”. Appropriate workup to rule out systemic and limited sclerosis was performed and was negative. J Endocrinol Metab. 2017;7(2):68-71 doi: https://doi.org/10.14740/jem394e
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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 | 0.001 |
| Meta-epidemiology (narrow) | 0.002 | 0.001 |
| Meta-epidemiology (broad) | 0.002 | 0.001 |
| Bibliometrics | 0.008 | 0.006 |
| Science and technology studies | 0.001 | 0.002 |
| Scholarly communication | 0.002 | 0.003 |
| Open science | 0.002 | 0.001 |
| Research integrity | 0.003 | 0.002 |
| Insufficient payload (model declined to judge) | 0.004 | 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".