Recurrent auricular inflammation caused by Kimura's disease: reminiscent of the early phase of relapsing polychondritis?

Leveraging non-lattice subgraphs for suggestion of new concepts for SNOMED CT

Missing hierarchical is-a relations and missing concepts are common quality issues in biomedical ontologies. Non-lattice subgraphs have been extensively studied for automatically identifying missing is-a relations in biomedical ontologies like SNOMED CT. However, little is known about non-lattice subgraphs' capability to uncover new or missing concepts in biomedical ontologies. In this work, we investigate a lexical-based intersection approach based on non-lattice subgraphs to identify potential missing concepts in SNOMED CT. We first construct lexical features of concepts using their fully specified names. Then we generate hierarchically unrelated concept pairs in non-lattice subgraphs as the candidates to derive new concepts. For each candidate pair of concepts, we conduct an order-preserving intersection based on the two concepts' lexical features, with the intersection result serving as the potential new concept name suggested. We further perform automatic validation through terminologies in the Unified Medical Language System (UMLS) and literature in PubMed. Applying this approach to the March 2021 release of SNOMED CT US Edition, we obtained 7,702 potential missing concepts, among which 1,288 were validated through UMLS and 1,309 were validated through PubMed. The results showed that non-lattice subgraphs have the potential to facilitate suggestion of new concepts for SNOMED CT.

Unusual Presentation of Relapsing Polychondritis in a Patient with Human Immunodeficiency Virus and Reactive Arthritis

Patient: Female, 58-year-old

Final Diagnosis: Relapsing polychondritis

Symptoms: Ear pain • eye pain

Medication: —

Clinical Procedure: —

Specialty: Rheumatology