A 37-Year-Old Female With Abdominal Pain and Diarrhea: A Case of Idiopathic Hypereosinophilic Syndrome
Bibliographic record
Abstract
We report a case of a 37-year-old female who presented with diffuse abdominal pain associated with dysphagia, weight loss, and history of chronic non-bloody diarrhea. Labs showed severe eosinophilia and esophagogastroduodenoscopy (EGD) showed patchy erythema in antrum and body of the stomach. The pathological exam showed lymphoplasmacytic inflammation of lamina propria with increased eosinophil count and eosinophilic abscesses. The immunophenotypic analysis did not show evidence of clonality. There was no evidence of allergic reaction or infection. In view of the absence of causes to explain severe eosinophilia, the diagnosis of hypereosinophilic syndrome (HES) was made and she was started on steroids with improvement in her symptoms and eosinophils counts in subsequent evaluations. J Med Cases. 2017;8(11):335-339 doi: https://doi.org/10.14740/jmc2813w
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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 | 0.002 |
| Meta-epidemiology (narrow) | 0.002 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.002 | 0.001 |
| Science and technology studies | 0.002 | 0.001 |
| Scholarly communication | 0.001 | 0.002 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.003 | 0.002 |
| Insufficient payload (model declined to judge) | 0.003 | 0.001 |
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".