Chronic Calcific Pancreatitis Associated Diabetes Presenting as Involuntary Weight Loss and Multiple Soft Tissue Calcifications in a Young Male

Authors

  • Ravi Kant Division of Diabetes and Metabolism Department of Medicine, AIIMS Rishikesh
  • Aditya Sudan Division of Diabetes and Metabolism Department of Medicine, AIIMS Rishikesh

DOI:

https://doi.org/10.3126/jdean.v2i2.22362

Keywords:

FPCD-chronic fibrocalcific pancreatic disease, TFCP-tropical fibrocalcific pancreatitis, TIGAR –o-toxic, idiopathic, genetic, autoimmune-obstructive

Abstract

Introduction: Chronic Calcific Pancreatitis, a rare form of secondary diabetes occurs due to recurrent alcohol induced acute pancreatitis.

Case Summary: A 28 year old male patient presented with significant involuntary weight loss associat-ed with a history of passing clay colored sticky stools for the past 1 year. He was also detected to have deranged blood sugars on routine work up at a local hospital for increased thirst and increased urine output. There was a history of recurrent bouts of moderate to severe abdominal pain over the past 3 to 4 years. At the time of initial presentation his Random blood sugar values was 468 mg/dL. Other routine tests tests were within normal limits. His serum amylase levels were 185 U/L and serum Lipase levels were 467 U/L.

Conclusions: Chronic fibro calcific pancreatitis is a rare cause of diabetes in young patients but has a characteristic clinical picture with a young patient presenting with features of malabsorption and low BMI, low propensity for DKA , low beta cell reserve and sensitivity to Insulin. 

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Author Biographies

Ravi Kant, Division of Diabetes and Metabolism Department of Medicine, AIIMS Rishikesh

Associate Professor and Head

Aditya Sudan, Division of Diabetes and Metabolism Department of Medicine, AIIMS Rishikesh

Junior Resident

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Published

2018-12-03

How to Cite

Kant, R., & Sudan, A. (2018). Chronic Calcific Pancreatitis Associated Diabetes Presenting as Involuntary Weight Loss and Multiple Soft Tissue Calcifications in a Young Male. Journal of Diabetes and Endocrinology Association of Nepal, 2(2), 52–55. https://doi.org/10.3126/jdean.v2i2.22362

Issue

Section

Case Reports