messages
listlengths
3
3
metadata
dict
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 42-year-old male presented with a history of progressive muscle weakness and atrophy, beginning at ...
{ "case_id": "10176718-1", "split": "rdc", "disease_id": "101078", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 22-year-old male, born to non-consanguineous parents, reported erectile dysfunction and absence of ...
{ "case_id": "3724090-1", "split": "rdc", "disease_id": "869", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 2-month-old male infant developed pneumonia with atelectasis and exhibited increasing abdominal dis...
{ "case_id": "4821985-1", "split": "rdc", "disease_id": "79259", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "An 18-week-old female infant weighing 5950 g was admitted to the hospital due to respiratory distress...
{ "case_id": "10946141-1", "split": "rdc", "disease_id": "365", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "Case 2, female, 10 years and 8 months, began experiencing negative myoclonus at 8 years and 7 months ...
{ "case_id": "7598858-2", "split": "rdc", "disease_id": "1945", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "An 18-year-old male with no known medical history was brought to the emergency department by a friend...
{ "case_id": "10560390-1", "split": "rdc", "disease_id": "466677", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "An eighteen-year-old female presented with missing teeth in the lower front jaw region, attributed to...
{ "case_id": "3816041-1", "split": "rdc", "disease_id": "3255", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 34-year-old male patient with a history of smoking 40 packs per year and alcohol consumption presen...
{ "case_id": "4650796-1", "split": "rdc", "disease_id": "166119", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A one-year-nine-month-old Chinese girl presented with hearing loss and regression in speech and movem...
{ "case_id": "6505200-1", "split": "rdc", "disease_id": "97229", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 15-year-old female presented with a widespread skin rash at one month old and experienced acute bur...
{ "case_id": "4425119-1", "split": "rdc", "disease_id": "910", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 58-year-old male patient presented with abnormal serum creatine kinase (sCK) levels in August 2020....
{ "case_id": "8796466-1", "split": "rdc", "disease_id": "206599", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 30-month-old female patient of Afro-American descent was referred for evaluation at the age of 15 m...
{ "case_id": "9953126-2", "split": "rdc", "disease_id": "367", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 40-year-old woman was admitted on January 25, 2010, to the rheumatism center due to a 6-month histo...
{ "case_id": "3069583-1", "split": "rdc", "disease_id": "206546", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "In 2016, a 68-year-old woman from Penafiel, Portugal, with a history of being overweight, visited her...
{ "case_id": "10552332-1", "split": "rdc", "disease_id": "368", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 45-year-old Caucasian woman, previously in good health, presented with a progressive decrease in vi...
{ "case_id": "3350253-1", "split": "rdc", "disease_id": "98963", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 15-year-old Indian female from Western Maharashtra, born at full term from a consanguineous marriag...
{ "case_id": "4611941-1", "split": "rdc", "disease_id": "2751", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 39-year-old woman with no prior health issues arrived at the emergency department after experiencin...
{ "case_id": "3400884-1", "split": "rdc", "disease_id": "743", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 58-year-old female patient with a history of non-small cell lung cancer (NSCLC) and a former smoker...
{ "case_id": "7232686-1", "split": "rdc", "disease_id": "370131", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 35-year-old Caucasian male was referred to the Cardiology Unit for a cardiac evaluation prior to en...
{ "case_id": "10733185-1", "split": "rdc", "disease_id": "300751", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 52-year-old Caucasian male with no significant medical history presented in October 2013 with left ...
{ "case_id": "11065756-1", "split": "rdc", "disease_id": "314684", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A male infant was delivered full-term to a 22-year-old G1P0 Mixteco mother via cesarean section. The ...
{ "case_id": "10573658-2", "split": "rdc", "disease_id": "912", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 69-year-old female patient was transferred from a local clinic to Soonchunhyang University Bucheon ...
{ "case_id": "3829747-1", "split": "rdc", "disease_id": "146", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 64-year-old man presented with epigastric pain that had persisted for several months. He was referr...
{ "case_id": "10948254-1", "split": "rdc", "disease_id": "99976", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 31-year-old female reported experiencing pain in both legs for the past year, with the pain initial...
{ "case_id": "3180721-1", "split": "rdc", "disease_id": "371", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 5-year-old girl, born to parents without any known genetic relation, experienced a transverse skin ...
{ "case_id": "10018418-1", "split": "rdc", "disease_id": "955", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 48-year-old male patient with a history of alcohol abuse began experiencing progressive walking dif...
{ "case_id": "7772861-1", "split": "rdc", "disease_id": "93256", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "An 11-year-old male child, born from a non-consanguineous marriage, presented with difficulty in risi...
{ "case_id": "10924650-1", "split": "rdc", "disease_id": "83419", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 37-year-old female patient presented with an 8-month history of severe uterine abnormal bleeding fo...
{ "case_id": "3896510-1", "split": "rdc", "disease_id": "98878", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "The patient is a 2-year and 6-month-old male, the only child of healthy, non-consanguineous parents o...
{ "case_id": "9009051-1", "split": "rdc", "disease_id": "2637", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 36-year-old woman with no previous pregnancies visited the hospital due to heavy menstrual bleeding...
{ "case_id": "10288407-2", "split": "rdc", "disease_id": "1827", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 53-year-old woman was admitted to the Department of Endocrinology due to diabetic ketosis and hyper...
{ "case_id": "10953016-1", "split": "rdc", "disease_id": "95626", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 27-year-old male with a history of hypertension (peak 170/98 mmHg) and symptomatic kidney stones fo...
{ "case_id": "6582561-1", "split": "rdc", "disease_id": "93599", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 3-year-old male presented to the emergency department with a frontal headache, eye pain, vomiting, ...
{ "case_id": "7528587-1", "split": "rdc", "disease_id": "35612", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 56-year-old male presented to the emergency department with fatigue and shortness of breath during ...
{ "case_id": "2847868-1", "split": "rdc", "disease_id": "216694", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 52-year-old Saudi woman visited the outpatient dermatology clinic with complaints of multiple painf...
{ "case_id": "4821152-1", "split": "rdc", "disease_id": "523", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 10-year-old girl, the third child in her family, was born to nonconsanguineous parents. Her two old...
{ "case_id": "4302186-1", "split": "rdc", "disease_id": "64748", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 25-year-old Caucasian woman with a history of elevated calcium levels since age 16 presented with c...
{ "case_id": "5120212-1", "split": "rdc", "disease_id": "405", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 14-year-old boy visited the Department of Pediatric Dentistry at Govt Dental College and Hospital, ...
{ "case_id": "4144061-1", "split": "rdc", "disease_id": "87", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 12-year-old male, born to healthy unrelated parents with no family history of skeletal lesions or n...
{ "case_id": "8554157-1", "split": "rdc", "disease_id": "2774", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "An 11-year-old male presented with muscle pain, weakness, lack of appetite, and vomiting. Laboratory ...
{ "case_id": "9259400-1", "split": "rdc", "disease_id": "26791", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 71-year-old Caucasian man was diagnosed with a malignant neoplasm in an unspecified part of the rig...
{ "case_id": "7924152-1", "split": "rdc", "disease_id": "36913", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "An 8-year-old girl from a rural area presented with pain in her left leg and an ulcer on the anterior...
{ "case_id": "3560170-1", "split": "rdc", "disease_id": "231", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 35-year-old male from Iran reported experiencing gradual weakness in both upper and lower limbs sta...
{ "case_id": "9033199-1", "split": "rdc", "disease_id": "206549", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "Patient 2, an 8.5-year-old boy, presented with multiple ecchymosis for half a day. The patient had no...
{ "case_id": "10823743-2", "split": "rdc", "disease_id": "397596", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 19-month-old male infant underwent a routine urine test, which revealed urine protein at a level of...
{ "case_id": "6292867-1", "split": "rdc", "disease_id": "93622", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 13-year-old girl of Black African descent was referred to the scleroderma services of the rheumatol...
{ "case_id": "7488857-1", "split": "rdc", "disease_id": "2588", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "M. J. I., a 33-year-old white female housewife with primary education, has experienced bilateral hear...
{ "case_id": "9443714-1", "split": "rdc", "disease_id": "886", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 14-year-old girl was referred to a genetic outpatient clinic for further evaluation of head abnorma...
{ "case_id": "9775564-1", "split": "rdc", "disease_id": "2396", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "The patient is a 19-year-old woman who was born with a scalp defect that healed after early conservat...
{ "case_id": "5318535-1", "split": "rdc", "disease_id": "2092", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 9-year-old girl presented with a history of gradually worsening abdominal distension, decreased uri...
{ "case_id": "3433566-1", "split": "rdc", "disease_id": "2494", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 28-year-old female with a history of chronic back pain, tendonitis, and joint pains presented with ...
{ "case_id": "5633099-1", "split": "rdc", "disease_id": "761", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "The patient is a 17-year-old Caucasian male who initially exhibited prolonged jaundice during the neo...
{ "case_id": "6169020-1", "split": "rdc", "disease_id": "79235", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 34-month-old girl, born at 42 weeks of gestation, presented with congenital central nervous system ...
{ "case_id": "9750684-1", "split": "rdc", "disease_id": "50", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 40-year-old, HIV-positive female presented with a 1-month history of an annular truncal eruption. S...
{ "case_id": "6827443-1", "split": "rdc", "disease_id": "163525", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 3-year-old male child, born to consanguineous parents, presented with global developmental delay, h...
{ "case_id": "10315378-1", "split": "rdc", "disease_id": "512", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 29-year-old female with a history of hypertension was undergoing treatment for infertility related ...
{ "case_id": "9534519-1", "split": "rdc", "disease_id": "64739", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 57-year-old woman with a history of drug-refractory symptomatic hypertrophic obstructive cardiomyop...
{ "case_id": "7083429-2", "split": "rdc", "disease_id": "3092", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 9-year-old boy presented with unerupted lower front teeth. He is the first child of parents who are...
{ "case_id": "11174179-2", "split": "rdc", "disease_id": "763", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "The patient was a one-year-old male. His parents and elder sister, who were not related by blood, wer...
{ "case_id": "7388215-1", "split": "rdc", "disease_id": "79242", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 25-year-old woman with no prior medical history was admitted to the emergency department after bein...
{ "case_id": "3970450-1", "split": "rdc", "disease_id": "466677", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 55-year-old male clerk was admitted for electroconvulsive therapy (ECT) in December 2006 due to med...
{ "case_id": "3217897-1", "split": "rdc", "disease_id": "132", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "The patient is a 14-year-old boy with muscle weakness starting at age 3, born to nonconsanguineous pa...
{ "case_id": "6390614-1", "split": "rdc", "disease_id": "610", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "An 11-year-old male patient was referred to our clinic due to testicular enlargement and rapid growth...
{ "case_id": "8891788-1", "split": "rdc", "disease_id": "319671", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 79-year-old right-handed male with a history of diabetes, hypertension, coronary artery disease, an...
{ "case_id": "4305616-1", "split": "rdc", "disease_id": "99994", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 24-year-old woman reported experiencing mild headaches and occasional serous leakage from her left ...
{ "case_id": "7603845-1", "split": "rdc", "disease_id": "53719", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 3.5-year-old girl was referred to a tertiary care hospital in Riyadh, Saudi Arabia for evaluation o...
{ "case_id": "8322495-1", "split": "rdc", "disease_id": "2990", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 68-year-old male with no significant medical history presented to the outpatient clinic after leuko...
{ "case_id": "10669936-1", "split": "rdc", "disease_id": "86871", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "The patient is a 9-year-old girl admitted to the hospital due to recurrent rashes for 8 years and a r...
{ "case_id": "9720256-1", "split": "rdc", "disease_id": "37", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 2-month-old male presented with a 3-day history of cough, 2 days of rapid breathing and poor feedin...
{ "case_id": "7703047-1", "split": "rdc", "disease_id": "83330", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 6-year-old boy with phototype IV from Rio de Janeiro, Brazil, presented to the Pediatric Dermatolog...
{ "case_id": "3750898-1", "split": "rdc", "disease_id": "560", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 9-day-old male infant was admitted to the hospital due to subcutaneous swellings. The prenatal hist...
{ "case_id": "3657242-1", "split": "rdc", "disease_id": "199267", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 58-year-old Japanese man experienced blurred vision one week after receiving the second dose of the...
{ "case_id": "11107829-1", "split": "rdc", "disease_id": "3437", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 16-year-old female presented with sudden onset of weakness and loss of sensation on the right side ...
{ "case_id": "9185003-1", "split": "rdc", "disease_id": "97330", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 27-year-old male visited the outpatient clinic with complaints of bone pain, recurrent forearm frac...
{ "case_id": "3701920-1", "split": "rdc", "disease_id": "91", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 7-month-old male presented with small papules and plaques on his right cheek, first noticed at 4 mo...
{ "case_id": "3199413-1", "split": "rdc", "disease_id": "157997", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 17-year-old girl was referred by her primary care physician due to an abnormal finding on an echoca...
{ "case_id": "2788135-1", "split": "rdc", "disease_id": "99969", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 3.8-year-old girl was referred to the Pediatric Endocrinology Department for evaluation of short st...
{ "case_id": "5639735-1", "split": "rdc", "disease_id": "633", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 60-year-old female, undergoing treatment with rifampicin, isoniazid, ethambutol, and pyrazinamide a...
{ "case_id": "8809160-2", "split": "rdc", "disease_id": "163525", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 3-year-old male child with a history of strabismus and cleft lip was referred to our clinics due to...
{ "case_id": "7395399-1", "split": "rdc", "disease_id": "35737", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 37-day-old female child, the fourth born to second-degree consanguineous parents, was admitted with...
{ "case_id": "4090852-1", "split": "rdc", "disease_id": "511", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 68-year-old female patient with a history of arterial hypertension since menopause, long-standing a...
{ "case_id": "10794872-2", "split": "rdc", "disease_id": "1399", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A two-month-old breastfeeding girl was brought to the emergency room after experiencing 12 days of fe...
{ "case_id": "3248606-1", "split": "rdc", "disease_id": "223", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A full-term male infant, weighing 3.9 kg, was delivered at 40 weeks gestation via normal vaginal deli...
{ "case_id": "7425829-2", "split": "rdc", "disease_id": "220386", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 17-year-old male returned to the hospital for rehabilitation and was referred to the genetic clinic...
{ "case_id": "3524443-2", "split": "rdc", "disease_id": "1713", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A five-month-old male presented with an 8-millimeter nodule located in the left corner of the left ey...
{ "case_id": "3987095-1", "split": "rdc", "disease_id": "158000", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 74-year-old Caucasian woman presented with fever, fatigue, and painful erythematous nodules. Her me...
{ "case_id": "6016001-1", "split": "rdc", "disease_id": "3243", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 66-year-old male with a history of scleredema diabeticorum and a 20-year history of diabetes presen...
{ "case_id": "7815298-1", "split": "rdc", "disease_id": "538863", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 3-month-old Chinese girl, previously in good health, experienced a week of diarrhea followed by an ...
{ "case_id": "8330443-1", "split": "rdc", "disease_id": "93164", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 43-year-old man was admitted to the Affiliated Hangzhou First People’s Hospital of Zhejiang Univers...
{ "case_id": "8047090-1", "split": "rdc", "disease_id": "890", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 30-year-old male patient presented with pancytopenia for 23 years and fever for 11 days. At six yea...
{ "case_id": "7000934-1", "split": "rdc", "disease_id": "88", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "During a routine prenatal ultrasound screening in the 11th gestational week (GW), a 39-year-old woman...
{ "case_id": "7984849-1", "split": "rdc", "disease_id": "141184", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 62-year-old Japanese man was admitted to Matsushita Memorial Hospital in January 2019 due to worsen...
{ "case_id": "8311021-1", "split": "rdc", "disease_id": "438266", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 7-year-old female patient, the first child of non-consanguineous Chinese Han parents, exhibited yel...
{ "case_id": "10547600-1", "split": "rdc", "disease_id": "65282", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 13-year-old female, the youngest of five siblings, was born at term with a birth weight of 3,780 g ...
{ "case_id": "2776156-3", "split": "rdc", "disease_id": "474", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "This is a 33-year-old woman born to consanguineous parents (second-degree relatives). She exhibited d...
{ "case_id": "9433055-1", "split": "rdc", "disease_id": "3464", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "The patient is an 8-year-old Chinese boy, the only child of unrelated parents. His medical history in...
{ "case_id": "8044963-1", "split": "rdc", "disease_id": "317476", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 5.5-year-old male child presented to the Department of Pediatric Dentistry for the treatment of dec...
{ "case_id": "5644011-1", "split": "rdc", "disease_id": "97360", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 16-year-old female from Bengal, India, born to parents in a consanguineous marriage, exhibited sign...
{ "case_id": "10692433-1", "split": "rdc", "disease_id": "633", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A 25-year-old woman, who has had two previous pregnancies, presented with a two-week history of lower...
{ "case_id": "8487380-1", "split": "rdc", "disease_id": "289356", "patient_category": null }
[ { "role": "system", "content": "You are an expert rare disease diagnostician. Given a clinical vignette, provide your top differential diagnoses with reasoning." }, { "role": "user", "content": "A seven-year-old girl was referred to our clinic due to short stature and abnormal genital appearance...
{ "case_id": "7127889-1", "split": "rdc", "disease_id": "638", "patient_category": null }