{"id":"W4411642840","doi":"10.1089/derm.2025.0116","title":"<i>Letter:</i> when a Spider Bite Triggers a Dual Immune Response: Acute Generalized Exanthematous Pustulosis and Coombs-Positive Hemolytic Anemia","year":2025,"lang":"en","type":"letter","venue":"Dermatitis","topic":"Drug-Induced Adverse Reactions","field":"Medicine","cited_by":0,"is_retracted":false,"has_abstract":false,"ca_institutions":"","funders":"","keywords":"Medicine; Acute generalized exanthematous pustulosis; Dermatology; Coombs test; Immune system; Immunology; Antibody","routes":{"ca_aff":false,"ca_fund":false,"ca_venue":true,"about_ca":false,"invisible_to_affiliation_only":true},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"codex-gemma-dda1882f352a","candidate_categories":["metaepi_narrow","research_integrity"],"consensus_categories":[],"category_scores_codex":[0.0002955436,0.0009384578,0.001812772,0.001017245,0.0003051091,0.0001859738,0.0002382156,0.001224976,0.0001217608],"category_scores_gemma":[0.0002968405,0.0009147043,0.0005187177,0.0005569745,0.0003178155,0.0002857272,0.0002279646,0.002465695,0.0001673401],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0006471106,"about_ca_system_score_gemma":0.0006088171,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.0004878607,"about_ca_topic_score_gemma":0.0000107338,"domain_scores_codex":[0.995614,0.0005280945,0.001055521,0.0009854989,0.0008098514,0.001007025],"domain_scores_gemma":[0.9968078,0.001028474,0.0005032778,0.001145439,0.000248696,0.0002663518],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"not_applicable","study_design_gemma":"not_applicable","study_design_scores_codex":[0.00008138474,0.00009464344,0.00001906391,0.0007923655,0.001412883,0.01515684,0.0008141654,6.995745e-7,0.003261481,0.0000103843,0.9764054,0.001950653],"study_design_scores_gemma":[0.004382861,0.00008315577,0.003025681,0.002108184,0.003189311,0.01040766,0.00006804742,0.00005968279,0.00503478,0.00007422647,0.9707106,0.0008557806],"study_design_candidate":"not_applicable","study_design_consensus":"not_applicable","genre_codex":"commentary","genre_gemma":"commentary","genre_scores_codex":[0.0151184,0.001026998,0.0002025452,0.9705194,0.001053169,0.002016994,0.00122002,0.0003734862,0.008468994],"genre_scores_gemma":[0.004486934,0.0007729143,0.001703387,0.9617432,0.001621802,0.000359754,0.001713765,0.0002046776,0.02739355],"genre_candidate":"commentary","genre_consensus":"commentary","teacher_disagreement_score":0.01892456,"threshold_uncertainty_score":0.9998357,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.01153916971828649,"score_gpt":0.2562328732396145,"score_spread":0.244693703521328,"validation_status":"score_only:v0-immature-baseline","note":"Baseline scores from an immature model (maturity gate not passed). Scores rank; they never assert a category."}}