Paraneoplastic Dermatomyositis as the Initial Presentation of Endometrial Adenocarcinoma: First Reported Case in Latin America and Literature Review
Bibliographic record
Abstract
Idiopathic inflammatory myopathies are a group of rare autoimmune diseases. A subset of these cases may occur in association with an underlying malignancy, a condition known as cancer-associated myositis (CAM), reported in approximately 13% of cases according to the Euromyositis registry. The malignancies most commonly linked to this syndrome include cancers of the lung, thyroid, breast, stomach, ovaries, cervix, and hepatocellular carcinoma. However, the association with endometrial adenocarcinoma has been only rarely described in the medical literature. In our review, we identified six previously reported cases (from Japan, Canada, and the United States). We present the first documented case in Latin America of a patient who developed this uncommon form of CAM, characterized by severe clinical presentation and favorable response following treatment directed at the neoplasm and administration of intravenous immunoglobulin.
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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) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.004 | 0.003 |
| Science and technology studies | 0.001 | 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 | 0.001 |
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".