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Open Access Case Report

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

Davis Kibirige*, Solomon Kibudde and Edrisa Mutebi

Author Affiliations

Department of Medicine, Makerere University College of Health Sciences and Endocrine unit, Mulago national referral and teaching Hospital, P.O.BOX 7062, Kampala, Uganda

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BMC Research Notes 2012, 5:622  doi:10.1186/1756-0500-5-622

Published: 5 November 2012

Abstract

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.

Keywords:
Fibrocalculous pancreatic diabetes; Tropical diabetes; Chronic pancreatitis; Secondary diabetes; Uganda