Fibrocalculous pancreatic diabetes in adult


1 KLES Diabetes Center, KLES Dr. Prabhakar Kore Hospital and Medical Research Center, Dharwad, India

2 KLES Diabetes Center, KLES Dr. Prabhakar Kore Hospital and Medical Research Center; Department of Community Medicine, Dharwad, India

3 KLES Diabetes Center, KLES Dr. Prabhakar Kore Hospital and Medical Research Center; Department of Biotechnology and Microbiology, Karnatak University, Dharwad, India

4 Department of Paediatrics, KLE University's J. N. Medical College, Belgaum, Karnataka, India


Fibrocalculous pancreatic diabetes has distinctive features like younger age at onset, presence of large intraductal calculi, aggressive course of the disease, and proneness for pancreatic cancer. Pancreatic calculi are the hallmark for the diagnosis. We report a 32-year-old male patient, a known case of diabetes since 2 years, presented with recurrent pain abdomen, malabsorption, and neuropathic symptoms. The diagnosis was established on the basis of clinical examination, biochemical and radiological investigations. He was prescribed two doses of premix insulin and pancreatic enzyme supplements for relief of abdominal pain and steatorrhea.


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