Letter to the Editor

Diabetic Ketoacidosis Complicated by Pneumomediastinum and Mallory-Weiss Tear in a Young Boy with New Onset Type 2 Diabetes

Authors: Shih-Yi Lin, MD, Chwen-Tzuei Chang, MD, Ching-Chu Chen, MD, Tzu-Yuan Wang, MD

Abstract

To the Editor:


We report a case of type 2 diabetes presenting as diabetic ketoacidosis (DKA) concomitant with pneumomediastinum and Mallory-Weiss tear. DKA is considered a cardinal feature of type 1 diabetes, but can occur spontaneously in type 2 diabetes. Pneumomediastinum and Mallory-Weiss tear are rarely associated with DKA; to our knowledge, simultaneous complications have never been reported in a DKA patient with new onset type 2 diabetes.

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