A Case of Generalized Granuloma Annulare with Polycythemia Vera
Bibliographic record
Abstract
71 歳，男性。初診の約 2 年前より体幹四肢に多発する浸潤性紅斑が蛇行状および環状とさまざまな形状を成していたが，瘙痒などの自覚症状はなく放置していた。近医内科で多血症の疑いで当院の血液内科へ紹介され，皮疹について当科へ紹介され受診した。当科で施行した皮膚生検では膠原線維間にムチンの沈着を伴った組織球の浸潤を認め，interstitial type granuloma annulare の病理組織所見より，汎発性環状肉芽腫と診断した。当科の初診時よりベタメタゾン酪酸エステルプロピオン酸クリーム外用を開始した。血液内科では JAK2V617F 遺伝子変異が検出され真性多血症の診断でヒドロキシカルバミド内服が開始された。初診の約 6 カ月後には皮疹の浸潤は徐々に改善し退色傾向を示した。非典型的な臨床像を示す汎発性環状肉芽腫と診断した場合には，糖尿病だけでなく造血器悪性腫瘍を含めた全身検索も必要であると考える。
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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 | 0.001 | 0.006 |
| Meta-epidemiology (narrow) | 0.003 | 0.002 |
| Meta-epidemiology (broad) | 0.001 | 0.002 |
| Bibliometrics | 0.004 | 0.002 |
| Science and technology studies | 0.005 | 0.005 |
| Scholarly communication | 0.002 | 0.003 |
| Open science | 0.001 | 0.003 |
| Research integrity | 0.006 | 0.004 |
| 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".