Tropical chronic pancreatis is a rare disease, found mostly in tropical places. It usually begins in the age 10-30 range, begins with pain, and progresses to cause poor digestion of fat due to pancreatic exocrine deficiency and then diabetes. The diabetes usually doesn't start until ten or more years after the stomach pain, but it needs treatment with insulin. Cause remains unknown, although the disease has been studied for at least sixty years.
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