| 목의 통증을 호소한 당뇨병성 케톤산증에 동반된 종격기종 1예 |
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신성호, 김두만, 박주리, 이소연, 안재성, 박한민, 박인영 |
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| Diabetic Ketoacidosis with Spontaneous Pneumomediastinum: A Case Report. |
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Sung Ho Shin, Doo Man Kim, Ju Ri Park, So Yon Rhee, Jae Sung Ahn, Han Min Park, In Young Park |
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Division of Endocrinology and Metabolism, Department of Internal Medicine, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea. dmjmsy@hanmail.net |
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| Abstract |
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Spontaneous pneumomediastinum (SPM) is defined as the presence of extraluminal gas in the mediastinal space without any clear traumatic cause. It has been reported in association with asthma exacerbation, emesis, childbirth, seizure, excessive shouting, drug inhalation and diabetic ketoacidosis (DKA). SPM complicated by DKA is infrequently accompanied with chest pain and DKA can lead to changes in respiratory rate and depth; this complication might be underestimated. Here, we report a 21-year-old male with throat pain on swallowing due to SPM complicated by DKA. Clinicians need to consider this complication in differential diagnoses. |
| Key Words:
Diabetic ketoacidosis, Diagnostic, Mediastinal emphysema, Pneumomediastinum |
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