Gurvits syndrome: a case of acute esophageal necrosis associated with diabetic ketoacidosis

BMC Gastroenterology

Table 1 Laboratory data on admission

Peripheral blood tests			ALT	122	IU/L
WBC	11	×103/µL	CPK	141	IU/L
Neu	74.2	%	LDH	224	IU/L
Ly	16.9	%	ALP	54	U/L
Eo	0	%	γ-GTP	52	IU/L
RBC	2.27	×106/µL	Glucose	730	mg/dL
Hb	7.7	g/dL	HbA1c (NGSP)	8	%
Ht	22.8	%	CRP	6.03	mg/dL
MCV	100.4	fL	eGFR	27.5	mL/min/1.73 m²
MCH	33.9	pg	BNP	61.8	pg/mL
MCHC	33.8	%	Cortisol	27.5	mg/dL
Platelet	266	×103/µL	β-hydroxybutyrate	2132	µmol/L
Coagulation study			Arterial blood gas analysis (O_{22L/min cannula})
PT	13.6	s	pH	7.294
APTT	26.2	s	PCO₂	21.9	mmHg
PT-INR	1.06		PO₂	140.2	mmHg
D-dimer	4.33	µg/mL	HCO₃	10.5	mmol/L
Biochemistry tests			BE	− 14.6	mmol/L
TP	4.9	g/dL	Lactate	12.09	mmol/L
Alb	2.9	g/dL	Urinalysis
BUN	98.7	mg/dL	pH	≦ 5.0
Cr	1.99	mg/dL	Protein	–
UA	12.3	mg/dL	Glucose	4+
Na	120	mEq/L	Ketone	1+
K	7.6	mEq/L
Cl	82	mEq/L	Others
Ca	8.6	mg/dL	Plasma osmolality	334	mOsm/L
T-Bil	0.53	mg/dL	Urine osmolality	501	mOsm/L
AST	54	IU/L

WBC white blood cell, Neu neutrophils, Ly lymphocytes, Eo eosinophils, RBC red blood cell, Hb hemoglobin, Ht hematocrit, MCV mean corpuscular volume, MCH mean corpuscular hemoglobin, MCHC mean corpuscular hemoglobin concentration, PT prothrombin time, APTT activated partial thromboplastin time, PT-INR prothrombin time-international normalized ratio, TP total protein, Alb albumin, BUN blood urea nitrogen, Cr creatinine, UA uric acid, Na sodium, K potassium, Cl chlorine, Ca calcium, T-Bil total-bilirubin, AST aspartate aminotransferase, ALT alanine aminotransferase, CPK creatinine phosphokinase, LDH lactate dehydrogenase, ALP alkaline phosphatase, γ-GTP γ-glutamyl transpeptidase, NGSP National Glycohemoglobin Standardization Program, CRP C-reactive protein, eGFR estimated glomerular filtration rate, BNP brain natriuretic peptide, BE base excess

ISSN: 1471-230X