J Korean Diabetes Assoc.
1998 Mar;22(1):103-109.
A Case of Fibrocalculous Pancreatic Diabetes With Familial Tendency
Abstract
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Diabetes in tropical regions and in some developing countries presents clinically differently from IDDM and NIDDM in
the Western world and developed countries. So, the WHO recognized malnutrition-related diabetes mellitus and
subdivided into fibrcalculous pancreatic diabetes(FCPD) and protein-deficient pancreatic diabetes in 1995. While it
appears that malnutrition may influence the expression of other types of diabetes, the evidence that diabetes can be
directly caused by malnutrition is not convincing. Thus, at present time, FCPD is best considered as a secondary form
of diabetes. FCPD is a form of diabetes with a high prevalence in tropical and developing countries, but rare in Korea.
It occurrs in young indi.viduals, accompanied by pancreatic calculi and or ductal dilatation of unknown cause, and is
ketosis-resistant. We experienced a case of FCPD with familial tendency and report with a brief review of the literature.