Lymphocytic Interstitial Pneumonia in a Patient with Primary Sjögren Syndrome: A Case Report
Bibliographic record
Abstract
Lymphocytic interstitial pneumonia is a rare lymphoproliferative disease involving the lung. It commonly occurs in rheumatological conditions. Among them, primary Sjögren syndrome is the most common association. We report a rare case of lymphocytic interstitial pneumonia in a patient with primary Sjögren syndrome. A 65 years old previously healthy female initially presented to the respiratory clinic with a history of progressive exertional dyspnea without other respiratory symptoms, anemic symptoms or features of heart failure, diagnosed as a lymphocytic interstitial pneumonia and then one year later she develop dry eyes and dry mouth without evidence of other autoimmune disorder and found to have primary Sjögren syndrome. Initially she was treated with prednisolone for lymphocytic interstitial pneumonia then treated with hydroxychloroquine, artificial tears and chewing gum for Sjögren syndrome. Her respiratory symptoms and lung functions were improved with prednisolone. Her symptoms of dryness also improved. Although rare, lymphocytic interstitial pneumonia is a well-known association with primary Sjögren syndrome. It can be developed before the diagnosis of Sjögren syndrome as in this patient; therefore, screening for Sjögren syndrome and other rheumatological disorders is warranted in a patient with lymphocytic interstitial pneumonia. Steroid is the mainstay of treatment of lymphocytic interstitial pneumonia.
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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 | 0.002 |
| Meta-epidemiology (broad) | 0.002 | 0.001 |
| Bibliometrics | 0.003 | 0.002 |
| Science and technology studies | 0.004 | 0.002 |
| Scholarly communication | 0.002 | 0.003 |
| Open science | 0.001 | 0.002 |
| Research integrity | 0.005 | 0.003 |
| Insufficient payload (model declined to judge) | 0.003 | 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".