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Chronic calcific pancreatitis presenting with stunting and diabetes mellitus
1Department of Paediatrics, Ebonyi State University Teaching Hospital, Abakaliki, Nigeria.
Insights
A rare case of chronic calcific pancreatitis in a 16-year-old boy led to stunting and diabetes mellitus. This highlights the importance of recognizing pancreatitis in children with chronic abdominal pain and diabetes symptoms.
Area of Science:
- Pediatrics
- Endocrinology
- Gastroenterology
Background:
- Chronic calcific pancreatitis is uncommon in pediatric populations.
- Recurrent abdominal pain can be a presenting symptom in children with pancreatic disease.
- Diabetes mellitus can arise as a complication of chronic pancreatitis.
Observation:
- A 16-year-old boy presented with weight loss, polydipsia, polyuria, and polyphagia.
- He had a history of poor growth since age 5 and recurrent abdominal pain for 4 years.
- Diagnosis was confirmed by low weight/height ratio, elevated fasting blood sugar (233 mg/dl), and pancreatic calcifications on X-ray.
Findings:
- The patient was diagnosed with chronic calcific pancreatitis with stunting and diabetes mellitus.
- Diabetes mellitus symptoms prompted medical attention, revealing underlying pancreatitis.
- The case illustrates the progression from chronic pancreatitis to insulin-dependent diabetes mellitus.
Implications:
- This case underscores the need for pediatricians to consider chronic pancreatitis in children presenting with chronic abdominal pain and diabetes symptoms.
- Early diagnosis and management of pediatric pancreatitis are crucial to prevent long-term complications like diabetes.
- This report adds to the limited literature on chronic calcific pancreatitis in children, emphasizing its rarity and clinical significance.
Abstract:
We report the case ofa 16 year old boy who presented with 8 months history of weight loss, 3 months history of polydypsia, polyuria and polyphagia. The child had poor growth since age of 5 years, during which time he developed recurrent abdominal pain for 4 years. A diagnosis of chronic calcific pancreatitis complicated by stunting and diabetes mellitus was made on the basis of weight/height ratio less than 5th NCHS percentile for his age, fasting blood sugar of 233mg/dl, and presence of calcifications over the pancreatic area on a plain abdominal X-ray. This case is reported due to the rarity of this condition in children. It is also the first to be seen in our hospital. It will serve to alert the Paediatrician to such clinical condition in children with chronic abdominal pain. In this case, symptoms of diabetes mellitus were the reasons for seeking medical attention and it also shows how chronic pancreatits led to insulin dependent diabetes mellitus.
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