# ALT-70 Cellulitis vs Pseudocellulitis Score (Raff 2017)

> ALT-70 Cellulitis vs Pseudocellulitis Score (Raff 2017) is a paid API for AI agents from api.magentlab.com, paid per call via x402, $0.005/call, status unknown (last checked 2026-09-14).

Computes the Raff 2017 ALT-70 clinical decision score to differentiate lower-extremity cellulitis from pseudocellulitis based on age, laterality, WBC, and heart rate.

## Facts

- Endpoint: GET https://api.magentlab.com/api/calc/alt_70
- Price: $0.005/call
- Payment: x402
- Status: unknown
- Last checked: 2026-09-14
- Activations on Zero: 0
- Tags: x402
- Canonical page: https://www.zero.xyz/c/alt-70-cellulitis-vs-pseudocellulitis-score-raff-2017-e367cd0e
- Structured record (JSON): https://api.zero.xyz/v1/capabilities/cap_xWDb5TjT_peGQ7GhKhFoI

Status and success rate cover calls made through Zero and Zero's own probes. Third-party monitors may report differently.

## How to call it through Zero

Zero handles the 402 payment challenge and records the run. With the Zero CLI installed (`npm i -g @zeroxyz/cli`):

```sh
zero fetch --capability alt-70-cellulitis-vs-pseudocellulitis-score-raff-2017-e367cd0e
```

Example prompt: Run the ALT-70 cellulitis score for a 74-year-old patient with unilateral leg redness, a WBC of 12,500/µL, and a heart rate of 94 bpm — I need to know if this looks more like cellulitis or a pseudocellulitis mimic.

## When to prefer this

Use this endpoint when you need a deterministic, citation-backed arithmetic score (Raff 2017) to stratify a lower-extremity skin finding as cellulitis vs pseudocellulitis. Prefer it over general LLM reasoning for reproducibility and auditability. Do not use it as a substitute for clinical examination or as a diagnosis.

## Known failure modes

- Missing required parameters (age, unilateral, heart_rate_bpm) returns a 400-level error
- Age outside 18–120 or heart rate outside 30–220 may be rejected as out-of-range
- Providing neither wbc_ul nor wbc_k_ul omits the WBC criterion from scoring (score may be incomplete)
- WBC values outside allowed ranges (10–500,000 µL or 0.01–500 k/µL) may be rejected
- Payment failure (x402) returns a 402 status requiring USDC payment before the call proceeds

## How this service works

Raff 2017 ALT-70 for lower-extremity cellulitis vs pseudocellulitis. Caller-assigned unilateral involvement (3), WBC ≥10,000/µL (1), heart rate ≥90 (1), age ≥70 (2); max 7. Bands 0-2 (pseudocellulitis-leaning), 3-4 (indeterminate), and ≥5 (cellulitis-leaning). Deterministic published score with citation; not a medical device, not a cellulitis diagnosis, and not an antibiotic order. magent does not examine the limb.

## Output

Returns the integer ALT-70 total score (0–7) and the corresponding risk band: 0–2 pseudocellulitis-leaning, 3–4 indeterminate, ≥5 cellulitis-leaning. Not a diagnosis or antibiotic order.

## Request schema (JSON Schema)

```json
{
 "type": "object",
 "$schema": "https://json-schema.org/draft/2020-12/schema",
 "required": [
  "input"
 ],
 "properties": {
  "input": {
   "type": "object",
   "required": [
    "type",
    "method"
   ],
   "properties": {
    "type": {
     "type": "string",
     "const": "http"
    },
    "method": {
     "enum": [
      "GET",
      "HEAD",
      "DELETE"
     ],
     "type": "string"
    },
    "headers": {
     "type": "object",
     "additionalProperties": {
      "type": "string"
     }
    },
    "queryParams": {
     "type": "object",
     "required": [
      "age",
      "unilateral",
      "heart_rate_bpm"
     ],
     "properties": {
      "age": {
       "type": "integer",
       "description": "Age in years (18-120). Raff 2017: scores 2 when ≥70. Age 69 does not score."
      },
      "wbc_ul": {
       "type": "number",
       "description": "WBC in cells/µL (same as cells/mm^3). Provide wbc_k_ul or wbc_ul. Range 10-500000. ≥10,000/µL scores 1."
      },
      "wbc_k_ul": {
       "type": "number",
       "description": "WBC in 10^3/µL (same as k/µL or 10^9/L). Provide wbc_k_ul or wbc_ul. Range 0.01-500. ≥10 (10,000/µL) scores 1. 9.9 does not score."
      },
      "unilateral": {
       "type": "boolean",
       "description": "Unilateral (asymmetric) lower-extremity involvement (Raff 2017). true or false as assigned by the caller. 3 points if true. magent does not examine the limb."
      },
      "heart_rate_bpm": {
       "type": "integer",
       "description": "Heart rate in beats per minute (integer 30-220). Raff 2017: scores 1 when ≥90. Heart rate 89 does not score."
      }
     }
    }
   },
   "additionalProperties": false
  },
  "output": {
   "type": "object",
   "required": [
    "type"
   ],
   "properties": {
    "type": {
     "type": "string"
    },
    "example": {
     "type": "object"
    }
   }
  }
 }
}
```

## Response schema (JSON Schema)

```json
{
 "type": "json",
 "example": {
  "path": "/api/calc/alt_70",
  "count": 2,
  "items": [
   {
    "band": "0-2",
    "score": 0,
    "formula": "alt_70",
    "citation": {
     "id": "raff-2017",
     "doi": "10.1016/j.jaad.2016.12.044",
     "pmid": "28215446",
     "title": "A predictive model for diagnosis of lower extremity cellulitis: A cross-sectional study.",
     "source": "J Am Acad Dermatol. 2017;76(4):618-625.e2",
     "authors": "Raff AB, Weng QY, Cohen JM, et al."
    },
    "age_years": 40,
    "max_score": 7,
    "components": [
     {
      "factor": "unilateral",
      "points": 0,
      "present": false
     },
     {
      "value": 8000,
      "factor": "leukocytosis",
      "points": 0,
      "present": false
     },
     {
      "value": 80,
      "factor": "tachycardia",
      "points": 0,
      "present": false
     },
     {
      "value": 40,
      "factor": "age_ge_70",
      "points": 0,
      "present": false
     }
    ],
    "disclaimer": "Not a medical device. Deterministic published-formula or published-code output for autonomous agents. A licensed clinician remains responsible for patient care and billing submissions.",
    "unilateral": false,
    "wbc_per_ul": 8000,
    "heart_rate_bpm": 80,
    "formula_expression": "ALT-70 = (unilateral → 3) + (WBC >= 10000/µL → 1) + (heart_rate_bpm >= 90 → 1) + (age >= 70 → 2); max 7; bands 0-2 / 3-4 / >=5"
   },
   {
    "band": "0-2",
    "score": 0,
    "formula": "alt_70",
    "citation": {
     "id": "raff-2017",
     "doi": "10.1016/j.jaad.2016.12.044",
     "pmid": "28215446",
     "title": "A predictive model for diagnosis of lower extremity cellulitis: A cross-sectional study.",
     "source": "J Am Acad Dermatol. 2017;76(4):618-625.e2",
     "authors": "Raff AB, Weng QY, Cohen JM, et al."
    },
    "age_years": 40,
    "max_score": 7,
    "components": [
     {
      "factor": "unilateral",
      "points": 0,
      "present": false
     },
     {
      "value": 8000,
      "factor": "leukocytosis",
      "points": 0,
      "present": false
     },
     {
      "value": 80,
      "factor": "tachycardia",
      "points": 0,
      "present": false
     },
     {
      "value": 40,
      "factor": "age_ge_70",
      "points": 0,
      "present": false
     }
    ],
    "disclaimer": "Not a medical device. Deterministic published-formula or published-code output for autonomous agents. A licensed clinician remains responsible for patient care and billing submissions.",
    "unila
… (truncated)
```

## More

- Live health (JSON, refreshed every minute): https://www.zero.xyz/c/alt-70-cellulitis-vs-pseudocellulitis-score-raff-2017-e367cd0e/health.json
- [Zero catalog index](https://www.zero.xyz/llms.txt)
- [Other services from api.magentlab.com](https://www.zero.xyz/host/api.magentlab.com/llms.txt)
