Birat Medical College Teaching Hospital.
NMVS Research Academy, Nepal Medical Volunteer Society.
J Nepal Health Res Counc. 2023 Mar 10;20(3):808-811. doi: 10.33314/jnhrc.v20i3.4006.
Fibrocalculous pancreatic diabetes is a unique variant of diabetes mellitus and also known as type 3c diabetes mellitus. It is related to the patient who is young, non-alcoholic and belonging predominantly from the tropical region. It is a severe form of diabetes which can also be linked to the fact that it predisposes to malignancy.1 Among the variants of diabetes that we commonly encounter, fibrocalculous pancreatic diabetes has been rarely diagnosed in the developing countries. With the advancement of diagnostic capacity, it can be identified clinically and managed efficiently. It should be considered in patients with typical features of diabetes, abdominal pain, and pancreatic calculi. There is limited reporting of this case in Nepal because of misdiagnosis, so we are reporting a 40 years male who presented with recurrent episodes of abdominal pain with mucus mixed stool for the last 28 years and was diagnosed as fibrocalculous pancreatic diabetes. Keywords: Blood glucose; eastern Nepal; fibrocalculous pancreatic diabetes; pancreas.
纤维钙化性胰腺糖尿病是一种独特的糖尿病变种，也称为 3c 型糖尿病。它与年轻、非酒精性且主要来自热带地区的患者有关。这是一种严重的糖尿病形式，也可能与它易发生恶性肿瘤有关。1 在我们常见的糖尿病变种中，纤维钙化性胰腺糖尿病在发展中国家很少被诊断出来。随着诊断能力的提高，它可以在临床上得到识别并有效地进行管理。对于具有典型糖尿病特征、腹痛和胰腺结石的患者，应考虑这种疾病。由于误诊，尼泊尔对此病例的报道有限，因此我们报告了一位 40 岁男性患者，他在过去 28 年中反复出现腹痛，伴有黏液混合粪便，并被诊断为纤维钙化性胰腺糖尿病。关键词：血糖；尼泊尔东部；纤维钙化性胰腺糖尿病；胰腺。
