Fibrocalculous pancreatic diabetes in a young Ugandan patient, a rare form of secondary diabetes.

BMC Res Notes

Department of Medicine, Makerere University College of Health Sciences and Endocrine unit, Mulago national referral and teaching Hospital, Kampala, Uganda.

Published: November 2012

Background: Fibrocalculous pancreatic diabetes is an infrequent type of secondary diabetes due to chronic tropical non alcoholic calcific pancreatitis. It has been widely described exclusively in developing tropical countries. A diagnosis is made basing on the presence of abdominal pain, presence of pancreatic calcifications, steatorrhoea, and diabetes mellitus.

Case Presentation: We report a case of a 20 year old Ugandan female patient who presented with features of chronic tropical calcific pancreatitis complicated by diabetes mellitus, oedematous malnutrition and micronutrient deficiencies.

Conclusion: This case report demonstrates that fibrocalculous pancreatic diabetes still exists in developing countries like Uganda. Clinicians in such settings should possess a high clinical suspicion of fibrocalculous pancreatic diabetes especially in presence of malnutrition. Challenges of management of such patients in resource limited settings are comprehensively discussed in the review of literature.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3514369PMC
http://dx.doi.org/10.1186/1756-0500-5-622DOI Listing

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