Comparative study of the clinical profiles of alcoholic chronic pancreatitis and tropical chronic pancreatitis in Tamil Nadu, south India.

Chari, S T and Mohan, V and Jayanthi, V and Snehalatha, C and Malathi, S and Viswanathan, M and Madanagopalan, N (1992) Comparative study of the clinical profiles of alcoholic chronic pancreatitis and tropical chronic pancreatitis in Tamil Nadu, south India. Pancreas, 7 (1). pp. 52-8. ISSN 0885-3177

[img]
Preview
PDF
1163Kb

Abstract

In a comparative study of tropical chronic pancreatitis (TCP) and alcoholic chronic pancreatitis (ACP) occurring in the same population, we analyzed the clinical profile of 50 patients of ACP seen over the past 3 years at our centers and compared this with the profile of our TCP patients. A majority (75%) of patients in both groups belonged to Tamil Nadu and 90% had never consumed cassava. Whereas TCP occurred in young subjects of both sexes, ACP patients were all males and presented at an older age. The frequency of pain, diabetes, and pancreatic calcification was similar in the two groups. Patients in both groups were lean, but signs of severe malnutrition were rare. Prediabetic patients had normal body mass index. There were striking differences in radiological appearance of pancreatic calculi in TCP and ACP. Malignancy of the pancreas was present in three patients with TCP. Benign bile duct stenosis was seen in three patients with ACP but not in TCP. Compared to ACP seen in the West, our ACP patients had a shorter duration of symptoms in spite of having advanced disease. TCP and ACP have distinct clinical profiles and it is possible that some environmental factors may hasten the progress of ACP in the tropics.

Item Type:Article
Official URL/DOI:http://journals.lww.com/pancreasjournal/Abstract/1...
Uncontrolled Keywords:pancreatitis;tropical chronic pancreatitis;profiles of alcoholic;Tamil Nadu; south India.
Subjects:Diabetes > Diabetes in India
Diabetology > Pancreatic Diabetes
Divisions:Department of Diabetology
ID Code:223
Deposited By:INVALID USER
Deposited On:01 Dec 2009 15:48
Last Modified:01 Dec 2009 15:48

Repository Staff Only: item control page