Jeandel P, Zeh A K, Fankam H
Médecin des Hôpitaux des Armées, Service de Médecine à Hôpital Laquintinie Douala.
Med Trop (Mars). 1988 Jul-Sep;48(3):267-71.
Case finding of pancreatic calcification by an X Ray of abdomen without preparation was systematically made for 183 diabetics treated in Cameroonese hospitals. Found 8 times (4.4%), these calcifications were detected usually in patients among them diabetes started before the age of 30 (35%), whatever sex or ethnic groups may be. All of them passed their childhood in rural environment. Alcoholic origin was obvious for 3 patients. For the 5 others, no etiology was formerly blamed. However, a woman had drunk traditional spirits from her childhood and an other has suffered from kwashiorkor. These 5 diabetics all had acetonuria and were poorly balanced. Only one presented some clinical stigmata f a pancreatic lesion. These results point out the existence in Cameroon of fibrocalcific pancreatic diabetes (FPD) considered as linked to malnutrition. Based on their observations, the authors discuss the classical features of such diabetes, and underline the role of alcoholic beverages in the genesis of these FPD. They also take into consideration the recent developments of physiopathology implicating the role of casava and of protein malnutrition.
对喀麦隆医院收治的183例糖尿病患者进行了系统的腹部X线检查，以发现无准备情况下的胰腺钙化情况。这些钙化在8例患者中被发现（4.4%），通常在30岁之前发病的糖尿病患者中检测到（35%），无论性别或种族如何。他们所有人的童年都在农村环境中度过。3例患者酒精性病因明显。另外5例患者，以前未发现病因。然而，一名女性从小就饮用传统烈酒，另一名患者曾患夸希奥科病。这5例糖尿病患者均有丙酮尿症且营养状况不佳。只有1例表现出胰腺病变的一些临床体征。这些结果指出喀麦隆存在与营养不良相关的纤维钙化性胰腺糖尿病（FPD）。基于他们的观察，作者讨论了这种糖尿病的经典特征，并强调了酒精饮料在这些FPD发病中的作用。他们还考虑了涉及木薯和蛋白质营养不良作用的病理生理学的最新进展。
