A patient with Cronkhite-Canada syndrome whose entire digestive tracts was examined endoscopically
Bibliographic record
Abstract
A 60-year-old woman was referred to our hospital with nausea, vomiting, taste disorder, alopecia, onichodystrophy and epigastric pain. Laboratory examination showed under-nutritionand abdominal computed tomography showed a thickened stomach wall. Endoscopic examination of the entire digestive tract showed multiple salmon roe-like polyp in the stomach, duodenum, ileum, and colon. Pathologically, biopsy specimens from the polyp-like lesions and mucosa revealed edematous change of the intestitium and cystic dilatation of the glands. We diagnosed the patient as having Cronkhite-Canada syndrome because of the polyposis associated with abnormalities of the ectoderm. Prednisolone therapy was initiated at 40 mg per day, with tapering of the dose subsequently. The clinical symptoms, laboratory data and polyposis improved with the prednisolone therapy. The prognosis of patients with Cronkhite-Canada syndrome treated with prednisolone is favorable, however, it has been reported recently that Cronkhite-Canada syndrome is associated with a risk of carcinogenesis. Therefore, it is necessary to conduct periodic screening of the entire digestive tract even after mucosal improvement.
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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 | 0.001 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.002 | 0.001 |
| Scholarly communication | 0.001 | 0.000 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
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".