title: "Black Esophagus" or Gurvits Syndrome: A Rare Complication of Diabetic Ketoacidosis.
abstract: 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.
authors.affiliation: Aventura Hospital & Medical Center, Aventura, FL, USA.
authors.forename: Vivek
authors.identifier: 0000-0001-9658-3404
authors.initials: V
authors.lastname: Choksi
authors.affiliation: Aventura Hospital & Medical Center, Aventura, FL, USA.
authors.forename: Kairavee
authors.initials: K
authors.lastname: Dave
authors.affiliation: Aventura Hospital & Medical Center, Aventura, FL, USA.
authors.forename: Rulz
authors.initials: R
authors.lastname: Cantave
authors.affiliation: Aventura Hospital & Medical Center, Aventura, FL, USA.
authors.forename: Sameer
authors.initials: S
authors.lastname: Shaharyar
authors.affiliation: Aventura Hospital & Medical Center, Aventura, FL, USA.
authors.forename: Jeevan
authors.initials: J
authors.lastname: Joseph
authors.affiliation: Aventura Hospital & Medical Center, Aventura, FL, USA.
authors.forename: Uday
authors.initials: U
authors.lastname: Shankar
authors.affiliation: Aventura Hospital & Medical Center, Aventura, FL, USA.
authors.forename: Steven
authors.initials: S
authors.lastname: Kaplan
authors.affiliation: Aventura Hospital & Medical Center, Aventura, FL, USA.
authors.forename: Hamid
authors.initials: H
authors.lastname: Feiz