Fibrocalculous Pancreatic Diabetes (FCPD) in India

Abstract

FCPD is a unique form of diabetes secondary to tropical calcific pancreatitis. FCPD usually affects the poorer strata of society and patients are lean and often frankly malnourished. The hall-marks of the disease are the occurrence of pain in abdomen in childhood and pancreatic calculi associated with dilatation of the pancreatic duct and fibrosis of the gland in adolescence. Diabetes sets in by early adulthood, is severe and usually insulin requiring although ketosis is rare. Specific diabetic complications do occur on long term follow- up. The aetiology of FCPD still remains unclear.