tropical calcific pancreatitis
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Introduction
idiopathic, juvenile, nonalcoholic form of chronic pancreatitis
Etiology
- can be associated with fibrocalculous pancreatic diabetes depending on both environmental & genetic factors
Epidemiology
- widely prevalent in several tropical countries
Genetics
- associated with defects in SPINK1
Complications
- exceptionally high incidence of pancreatic cancer
Differential diagnosis
- differs from alcoholic pancreatitis by
- a much younger age of onset
- pancreatic calcification
- high incidence of insulin dependent but ketosis resistant diabetes mellitus
- an exceptionally high incidence of pancreatic cancer