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After sodium\u2013glucose cotransporter\u00a02 inhibitors administration, her bodyweight rapidly decreased from 40 to 30\u00a0kg over a period of 3\u00a0weeks. She had abdominal symptoms, including nausea, especially after a meal. On admission, physical examinations and laboratory data showed euglycemic ketoacidosis, dehydration and low insulin secretion levels. Additionally, abdominal contrast computed tomography showed the finding of superior mesenteric artery syndrome. This case urges caution, including rapid excessive bodyweight loss and euglycemic ketoacidosis, on the use of sodium\u2013glucose cotransporter\u00a02 for lean diabetes patients.<\/jats:p>","DOI":"10.1111\/jdi.13228","type":"journal-article","created":{"date-parts":[[2020,2,5]],"date-time":"2020-02-05T09:08:00Z","timestamp":1580893680000},"page":"1359-1362","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Case report of superior mesenteric artery syndrome that developed in a lean type\u00a02 diabetes patient and was associated with rapid body weight loss after sodium\u2013glucose cotransporter\u00a02 inhibitor administration"],"prefix":"10.1111","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7278-3417","authenticated-orcid":false,"given":"Taro","family":"Hirai","sequence":"first","affiliation":[{"name":"Department of Diabetology and Endocrinology Kanazawa Medical University Uchinada 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