“Black Esophagus” or Gurvits Syndrome: A Rare Complication of Diabetic Ketoacidosis

Acute esophageal necrosis (AEN) also known as “black esophagus” or necrotizing esophagitis is a rare syndrome characterized by a striking diffuse patchy or circumferential black appearance of the esophageal mucosa that preferentially affects the distal esophagus and terminates at the gastroesophagea...

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Main Authors: Vivek Choksi, Kairavee Dave, Rulz Cantave, Sameer Shaharyar, Jeevan Joseph, Uday Shankar, Steven Kaplan, Hamid Feiz
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Gastrointestinal Medicine
Online Access:http://dx.doi.org/10.1155/2017/4815752
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author Vivek Choksi
Kairavee Dave
Rulz Cantave
Sameer Shaharyar
Jeevan Joseph
Uday Shankar
Steven Kaplan
Hamid Feiz
author_facet Vivek Choksi
Kairavee Dave
Rulz Cantave
Sameer Shaharyar
Jeevan Joseph
Uday Shankar
Steven Kaplan
Hamid Feiz
author_sort Vivek Choksi
collection DOAJ
description Acute esophageal necrosis (AEN) also known as “black esophagus” or necrotizing esophagitis is a rare syndrome characterized by a striking diffuse patchy or circumferential black appearance of the esophageal mucosa that preferentially affects the distal esophagus and terminates at the gastroesophageal junction. Only 88 patients over a span of 40 years have received this diagnosis, and the prevalence of this disease ranges from 0.001 to 0.2% of cases in literature. It more commonly affects men (4 : 1 ratio) in the sixth decade of life. It is associated with a high mortality rate, approaching 32%. We report a case of AEN presenting in the setting of diabetic ketoacidosis (DKA), affecting both the proximal and distal esophagus.
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institution Kabale University
issn 2090-6528
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language English
publishDate 2017-01-01
publisher Wiley
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series Case Reports in Gastrointestinal Medicine
spelling doaj-art-f2a9966a1e654ab79507c081ac912e3f2025-02-03T01:21:29ZengWileyCase Reports in Gastrointestinal Medicine2090-65282090-65362017-01-01201710.1155/2017/48157524815752“Black Esophagus” or Gurvits Syndrome: A Rare Complication of Diabetic KetoacidosisVivek Choksi0Kairavee Dave1Rulz Cantave2Sameer Shaharyar3Jeevan Joseph4Uday Shankar5Steven Kaplan6Hamid Feiz7Aventura Hospital & Medical Center, Aventura, FL, USAAventura Hospital & Medical Center, Aventura, FL, USAAventura Hospital & Medical Center, Aventura, FL, USAAventura Hospital & Medical Center, Aventura, FL, USAAventura Hospital & Medical Center, Aventura, FL, USAAventura Hospital & Medical Center, Aventura, FL, USAAventura Hospital & Medical Center, Aventura, FL, USAAventura Hospital & Medical Center, Aventura, FL, USAAcute esophageal necrosis (AEN) also known as “black esophagus” or necrotizing esophagitis is a rare syndrome characterized by a striking diffuse patchy or circumferential black appearance of the esophageal mucosa that preferentially affects the distal esophagus and terminates at the gastroesophageal junction. Only 88 patients over a span of 40 years have received this diagnosis, and the prevalence of this disease ranges from 0.001 to 0.2% of cases in literature. It more commonly affects men (4 : 1 ratio) in the sixth decade of life. It is associated with a high mortality rate, approaching 32%. We report a case of AEN presenting in the setting of diabetic ketoacidosis (DKA), affecting both the proximal and distal esophagus.http://dx.doi.org/10.1155/2017/4815752
spellingShingle Vivek Choksi
Kairavee Dave
Rulz Cantave
Sameer Shaharyar
Jeevan Joseph
Uday Shankar
Steven Kaplan
Hamid Feiz
“Black Esophagus” or Gurvits Syndrome: A Rare Complication of Diabetic Ketoacidosis
Case Reports in Gastrointestinal Medicine
title “Black Esophagus” or Gurvits Syndrome: A Rare Complication of Diabetic Ketoacidosis
title_full “Black Esophagus” or Gurvits Syndrome: A Rare Complication of Diabetic Ketoacidosis
title_fullStr “Black Esophagus” or Gurvits Syndrome: A Rare Complication of Diabetic Ketoacidosis
title_full_unstemmed “Black Esophagus” or Gurvits Syndrome: A Rare Complication of Diabetic Ketoacidosis
title_short “Black Esophagus” or Gurvits Syndrome: A Rare Complication of Diabetic Ketoacidosis
title_sort black esophagus or gurvits syndrome a rare complication of diabetic ketoacidosis
url http://dx.doi.org/10.1155/2017/4815752
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