A Case of Diabetic Ketoacidosis Complicated With Necrotizing Esophagitis

被引：0
作者：
Kawashima, Shumei [1 ]
Abe, Hironori [1 ]
Shimizu, Norihiro [1 ]
Shikuma, Junpei [1 ]
Suzuki, Ryo [1 ]
机构：
[1] Tokyo Med Univ, Dept Diabet Endocrinol & Metab, Tokyo, Japan
来源：
CUREUS JOURNAL OF MEDICAL SCIENCE | 2024年 / 16卷 / 01期
关键词：
hematemesis; black esophagus; diabetic keto acidosis; type 1 diabetes mellitus (t1d); acute necrotizing esophagitis; BLACK ESOPHAGUS; NECROSIS;
D O I：
10.7759/cureus.52871
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Acute necrotizing esophagitis (ANE) is known as the "black esophagus." We present a case of ANE in a patient with slowly progressive type 1 diabetes mellitus. A 49-year-old man presented with vomiting, characterized by coffee residue-like emesis, and was diagnosed with diabetic ketoacidosis. Upper gastrointestinal endoscopy revealed black mucosa extending from the middle of the esophagus to the gastric junction, leading to a diagnosis of ANE. The patient was treated with proton pump inhibitors and showed marked improvement. The patient was discharged on the 20th day of illness.
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页数：7
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