Tropical chronic pancreatitis and peripheral vascular disease. A case report.
BACKGROUND
It is well-known that subjects with diabetes resulting from tropical chronic pancreatitis are prone to diabetic microvascular complications (neuropathy, nephropathy and retinopathy). However, macrovascular complications (coronary artery disease, stroke and peripheral vessel disease) are rare, as these subjects are younger, leaner and have lower cholesterol levels.


METHODS
We report the case of a 51-year-old male who had tropical chronic pancreatitis, diabetes and severe peripheral vessel disease with gangrene. He was lean, had borderline lipid levels and was normotensive. His ECG was normal.


CONCLUSIONS
Peripheral vascular disease can occur in these diabetic subjects, even without additional risk factors for atherosclerotic vascular disease. All subjects with tropical chronic pancreatitis and diabetes should have a complete foot examination once a year, in addition to screening for other vascular complications.
Unnikrishnan
Ambika Gopalakrishnan
AG
Department of Endocrinology and Diabetes, Amrita Institute of Medical Sciences, Cochin, India. unnikrishnanag@aims.amrita.edu
Gowri
Palaniswamy
P
Arun
Kannan
K
Varma
Ajit Kumar
AK
Kumar
Harish
H
D000792:Angiography; D002114:Calcinosis / Q000000981:diagnostic imaging / Q000209:etiology; D003925:Diabetic Angiopathies / Q000000981:diagnostic imaging / Q000209:etiology*; D005734:Gangrene / Q000000981:diagnostic imaging / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D050500:Pancreatitis, Chronic / Q000145:classification / Q000150:complications* / Q000000981:diagnostic imaging; D016491:Peripheral Vascular Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D014329:Tropical Climate