Clinical Characteristics of Fibrocalcous Pancreatic Diabetes (FCPD) In Children and Adolescents in a Tertiary Hospital

Abstract

Background: Fibrocalculous pancreatic diabetes (FCPD) is a unique form of diabetes secondary to nonalcoholic, chronic, calcific, pancreatitis seen in tropical, developing countries of the world.Objective: The purpose of the present study was to determine the clinical features & the glycemic status of the children and adolescents with FCPD. Methodology: This descriptive study was undertaken in the department of paediatrics and at the data retrieval centre of Bangladesh Institute of Research and Rehabilitation in Diabetic, Endocrine and Metabolic Disorders (BIRDEM).Result: Among Seventy two cases of FCPD patients, majority (69.4%) of the patients were between 11-15 years age group and most (81%) of the study population were female. Most (68%) of them came from rural areas and belongs to lower socioeconomic class. Important clinical presentations were typical symptoms of diabetes mellitus (70.83%), abdominal pain (68.1%) and chronic diarrhoea (36.11%). The study population had poor glycaemic control, their mean ( SD) HbAlc were 16.58 4.07. Cataract was the most common complication (47.2%). Only one patient developed Diabetic Keto Acidosis (DKA).Conclusion: Majority of FCPD were female coming from rural areas with poor socio- economic.J Shaheed Suhrawardy Med Coll, 2014; 6(2):53-56

Fibrocalculous Pancreatic Diabetes in a Bangladeshi Girl

“…10 There is a marked male preponderance, but in a Bangladeshi study revealed that 81% of their FCPD patient were girl and 68% were from rural areas like our case. 11 The investigation of choice for the diagnosis is a plain X-ray of the abdomen, which will reveal the presence of the characteristic pancreatic calculi crossing the midline at the level of calculi are mostly situated to the right of the first or second lumbar vertebrae, but may rarely overlap the spine which are usually large in size and extend throughout the pancreas. Ultrasound examination of the abdomen is also useful and will pick up pancreatic duct dilatation in addition to calcification and calculi.…”