title: The occurrence of Z-type diabetes (tropical pancreatic diabetes) in the South African Indian.
abstract: The presentation of diabetes in the young South African Indian is atypical in that insulin-dependent diabetes mellitus is rare, while non-insulin-dependent diabetes mellitus is common. In addition, youthful onset of tropical diabetic syndrome (J-type diabetes) is extremely rare. To date there appear to be no reports on a further tropical malnutrition diabetic syndrome associated with pancreatic fibrosis and calcification (Z-type diabetes). Four Indian patients with features consistent with the diagnosis of Z-type diabetes are described. All were asthenic, came from a poor socio-economic background and developed insulin-requiring diabetes in their youth; 3 of the 4 patients had pancreatic calcification.
mesh_terms: D000293:Adolescent; D000328:Adult; D001786:Blood Glucose / Q000378:metabolism; D002114:Calcinosis / Q000150:complications*; D048909:Diabetes Complications; D003920:Diabetes Mellitus / Q000453:epidemiology; D005260:Female; D006801:Humans; D007194:India / Q000208:ethnology; D008297:Male; D010182:Pancreatic Diseases / Q000150:complications*; D013019:South Africa
chemical_list: D001786:Blood Glucose