Rare Case of Fibrocalculous Pancreatic Diabetes in a Young Sub-Saharan African Migrant

Bayar I*, Belkhiri M, Abid S, Ben Amor B, Hajji E, Sayadi H, Marmouch H and Khochtali I

Department of Endocrinology and Internal Medicine, Fattouma Bourguiba University Hospital, Tunisia

^*Correspondance to: Ines Bayar 

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Abstract:

Fibrocalculous Pancreatic Diabetes (FCPD) is a rare form of secondary Diabetes Mellitus (DM) mainly describes in tropical regions, and presenting as the ultimate stage of the Tropical Chronic Pancreatitis (TCP). We present a case of FCPD in a young male recently immigrated to Tunisia from a Sub-Saharan African country, with no medical history. On clinical examination he had low body mass index of 18.6 kg/m2, ascites, upper abdominal pain on palpation and bilateral erysipelas. Laboratory tests revealed malnutrition with low albumin, cholesterol and folate levels as well as anemia. DM was particularly ketosis-resistant and difficult to manage because of glycemic variability. The exact etiopathogenesis is still unclear, but a genetic susceptibility is incriminated, and malnutrition seems to be the consequence rather than the cause. Alongside with insulin therapy, nutritional intervention includes pancreatic enzyme and nutrients supplementation with low-fat high-protein diet. To our knowledge, this is the first reported case of FCPD in Tunisia in decades, and it is a concerning problem with the rise of immigration.

Keywords:

Fibrocalculous pancreatic diabetes; Tropical chronic pancreatitis; Diabetes mellitus; Tunisia

Cite the Article:

Bayar I, Belkhiri M, Abid S, Ben Amor B, Hajji E, Sayadi H, et al. A Rare Case of Fibrocalculous Pancreatic Diabetes in a Young Sub-Saharan African Migrant. Ann Clin Case Rep. 2023; 8:.