1例胰腺纤维钙化性糖尿病个案报道

A Case Report of Fibrocalculous Pancreatic Diabetes

摘要: 胰腺纤维钙化性糖尿病是一种特殊类型的糖尿病，以慢性非酒精性钙化性胰腺炎、需要应用胰岛素治疗、抗酮症性糖尿病及脂肪吸收不良为特征，影响着发展中国家数百万体型较瘦的人的健康。胰腺纤维钙化性糖尿病(Fibrocalculous Pancreatic Diabetes, FCPD)多发生在热带发展中的国家，由Zuidema在1959年首先在全球报道，其特征为① 胰腺内、外分泌功能同时受累，② 胰管结石，③ 胰腺钙化，④ 糖尿病。此文拟回顾1例胰腺纤维钙化性糖尿病患者临床资料并将相关文献复习，分析该疾病特点，从而减少临床漏诊及误诊率。

Abstract: Fibrocalculous pancreatic diabetes is a special type of diabetes, which is characterized by chronic non-alcoholic calcific pancreatitis, insulin treatment, anti ketotic diabetes and fat malabsorption, affecting the health of millions of thin people in developing countries. Fibrocalculous pancreatic di-abetes (FCPD) mostly occurs in developing countries in the tropics. It was first reported globally by Zuidema in 1959. It is characterized by ① simultaneous involvement of pancreatic internal and external secretion functions, ② pancreatic duct stones, ③ pancreatic calcification, and ④ diabetes. This article is to review the clinical data of a case of FCPD and review the relevant literature, analyze the characteristics of the disease, and reduce the rate of clinical missed diagnosis and misdiagnosis.