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May 1971

Pancreatic Diabetes.

Author Affiliations

Columbus, Ohio

Arch Intern Med. 1971;127(5):968. doi:10.1001/archinte.1971.00310170176037

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Diabetes mellitus with pancreatic calcification is not uncommon in young people in Africa, the Far East, South America, and India. The author has studied 400 such cases. The monograph begins with a historical review of diabetes beginning in 1550 BC. Juvenile diabetes is defined by the author as appearing before the age of 15 years. Growth diabetes develops between the ages of 15 and 40 years. Maturity onset diabetes occurs after the age of 40 years. The writer relates the problem of pancreatic diabetes to the growth onset variety.

In many countries the casual factors related to pancreatitis are alcohol, cholelithiasis, protein deficiency (eg, Kwashiorkor), infections, infestations, vitamin deficiences, vascular disease, hereditary factors, bile stasis with common channel, toxic drugs, and trauma. I am not certain which etiological agents(s) the author really stresses, but alcohol and cholelithiasis are not emphasized.

In the classification he states that calcification of the pancreatic

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