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Record W4412072041 · doi:10.1177/2050313x251350341

Vulvar Crohn disease: A case report

2025· article· en· W4412072041 on OpenAlexaff
Jason Kreutz, Marlene Dytoc

Bibliographic record

VenueSAGE Open Medical Case Reports · 2025
Typearticle
Languageen
FieldMedicine
TopicHidradenitis Suppurativa and Treatments
Canadian institutionsUniversity of AlbertaUniversity of Calgary
Fundersnot available
KeywordsMedicineHidradenitis suppurativaAdalimumabDermatologyCrohn's diseaseTriamcinolone acetonidePsoriasisDiseaseMetronidazoleCrohn diseaseSurgeryInternal medicineAntibiotics

Abstract

fetched live from OpenAlex

Vulvar Crohn's disease is a rare manifestation of cutaneous Crohn's disease. The literature on the diagnosis and treatment of this condition remains sparse, given its low prevalence. Herein, we present a case of a 47-year-old female with previously known inverse psoriasis and hidradenitis suppurativa. She was experiencing painful vulvar fissures, which ultimately resulted in a diagnosis of vulvar Crohn's disease. The patient's symptoms had resolved at the most recent follow-up visit with treatment, including adalimumab 40 mg, metronidazole 500 mg, and intralesional triamcinolone acetonide injections.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.003
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesInsufficient payload (model declined to judge)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Case report · Consensus signal: Case report
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.089
Threshold uncertainty score0.995

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.003
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0060.000

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.

Opus teacher head0.019
GPT teacher head0.356
Teacher spread0.337 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designCase report
Domainnot available
GenreEmpirical

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".

Quick stats

Citations0
Published2025
Admission routes1
Has abstractyes

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