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KMID : 0882420120830010117
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Korean Journal of Medicine
2012 Volume.83 No. 1 p.117 ~ p.121
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A Case of Acute Esophageal Necrosis in a Patient with Diabetic Ketoacidosis
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Im Jae-Hyoung
Kim Min-Su
Lee Seung-Youn
Kim So-Hun
Hong Seong-Bin
Nam Moon-Suk
Kim Yong-Seong
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Abstract
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Acute esophageal necrosis is a rare clinical entity characterized by the endoscopic finding of extensive black discoloration of the esophageal mucosa. Acute esophageal necrosis in a patient with diabetic ketoacidosis has rarely been reported. We report a case of acute esophageal necrosis in a patient with diabetic ketoacidosis. The patient had coffee ground emesis and, after an esophagogastroduodenoscopy with mucosal biopsy, acute esophageal necrosis was diagnosed. The patient was treated conservatively with an intravenous proton pump inhibitor and oral sucralfate without any complications.
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KEYWORD
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Diabetic ketoacidosis, Esophagus, Necrosis, Diabetes mellitus, Type 1
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