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Record W4412502821 · doi:10.1136/bcr-2025-265908

Eosinophilic gastroenteritis and eosinophilic dermatitis in a patient: two sides of the same coin?

2025· article· en· W4412502821 on OpenAlexaff
Leilynaz Malekafzali, Bibi Naghibi Torbati, Fahd Jowhari

Bibliographic record

VenueBMJ Case Reports · 2025
Typearticle
Languageen
FieldMedicine
TopicEosinophilic Esophagitis
Canadian institutionsUniversity of British Columbia, Okanagan CampusKelowna General HospitalInterior HealthUniversity of Toronto
Fundersnot available
KeywordsMedicineEosinophiliaRashPrednisoneDermatologyEosinophilic gastroenteritisEosinophilicVomitingBiopsyGastroenterologyInternal medicinePathology

Abstract

fetched live from OpenAlex

A female in her late 60s presented to hospital with a 2-week history of epigastric pain, nausea and vomiting. Over the past 15 years, she had 3 episodes of severe epigastric pain accompanied by a rash, all improving with short courses of prednisone. She also had a history of hypogammaglobulinaemia suspected to be due to protein-losing enteropathy. On examination, an erythematous, pruritic rash was noted on her left thigh. Laboratory studies revealed peripheral blood eosinophilia and hypoalbuminaemia. Gastroscopy and targeted biopsies showed increased eosinophilic infiltration in the foregut consistent with eosinophilic gastroenteritis (EGE). A punch biopsy of the rash showed eosinophilic infiltration in the dermis layer consistent with eosinophilic dermatitis. She was started on a tapering course of oral prednisone 40 mg daily and a proton pump inhibitor (PPI) 2 times per day. Her abdominal symptoms resolved within 48 hours. A follow-up gastroscopy 12 weeks later showed mucosal and histological improvement, and the rash subsequently improved.

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 machine prediction

Teacher imitation

Not 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.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.008
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
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 score0.014
Threshold uncertainty score0.028

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0010.008
Meta-epidemiology (narrow)0.0030.002
Meta-epidemiology (broad)0.0030.002
Bibliometrics0.0030.003
Science and technology studies0.0040.003
Scholarly communication0.0040.007
Open science0.0020.003
Research integrity0.0140.007
Insufficient payload (model declined to judge)0.0080.003

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 head0.011
GPT teacher head0.284
Teacher spread0.273 · 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 source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
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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