Fibrocalculous pancreatic diabetes (FCPD) is an uncommon form of diabetes secondary to nonalcoholic chronic calcific pancreatitis of uncertain etiology predominantly found in tropical regions of the world, characterized by abdominal pain and pancreatic calcification.
Alcoholism is also an important cause of chronic calcific pancreatitis in USA, South Africa, France, Australia, and some part of Europe.
In view of calcific pancreatitis
and renal stones, hypercalcemia is suspected and serum calcium were done, which is slightly elevated up to 13 mg/dl.
Biliary ascariasis associated with chronic calcific pancreatitis
of the tropics.
Chronic calcific pancreatitis (CCP), endomyocardial fibrosis (EMF), multinodular goitre (MNG) and mucoid angiopathy along with the root wilt disease of coconut is endemic to Kerala with its radioactive actinide beach sands.
The following groups were included in the study:-endomyocardial fibrosis, chronic calcific pancreatitis, multinodular goitre and mucoid angiopathy.
There was increase in cytochrome F420 indicating archaeal growth in endomyocardial fibrosis, chronic calcific pancreatitis, multinodular goitre and mucoid angiopathy.
Therefore, patients with chronic calcific pancreatitis who do not have pain should not be considered candidates for stone removal, he asserted.
The best candidates, he said, are those with chronic relapsing calcific pancreatitis.
Divergent rates of success for stone removal may be related to the fact that there are two underlying explanations for pain associated with chronic calcific pancreatitis.
Genetic mechanisms underlying the pathogenesis of tropical calcific pancreatitis
1,4-6) The clinical spectrum of chronic calcific pancreatitis
has been found to be different in northern India.