Kalvaria I, Clain J E
S Afr Med J. 1979 Mar 31;55(14):562-4.
A case of severe diabetic steatorrhoea is presented in a young Black male with poorly controlled diabetes, symptomatic peripheral neuropathy, evidence of autonomic neuropathy with gastroparesis and raised faecal fat excretion. A pancreatic function test was negative as were tests of small-bowel structure and function. There was resistance to all therapy. The literature on diabetic diarrhoea and steatorrhoea has been reviewed, and it is concluded that they are expressions of the same entity which remains a clinical problem for which there is at present no effective management.
本文报告了一例严重糖尿病性脂肪泻病例，患者为一名年轻黑人男性，糖尿病控制不佳，有症状性周围神经病变、伴有胃轻瘫的自主神经病变证据及粪便脂肪排泄增加。胰腺功能测试结果为阴性，小肠结构和功能测试结果同样如此。所有治疗均无效。本文对糖尿病性腹泻和脂肪泻的相关文献进行了综述，得出结论认为，它们是同一实体的表现，目前仍是一个临床难题，尚无有效的治疗方法。
