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Tropical chronic pancreatitis: a historical perspective
  1. V Balakrishnan
  1. Department of Gastroenterology, Amrita Institute of Medical Sciences, AIMS Ponekkara, Cochin, Kerala, India
  1. Correspondence to Professor V Balakrishnan, Pancreas Clinic, Digestive Diseases Institute, Amrita Institute of Medical Sciences and Research Centre, Kochi-682041, Kerala, India; vbalakrishnan{at}

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I read the article on idiopathic chronic pancreatitis (ICP) in India in which there was reference to tropical chronic pancreatitis (TCP).1 TCP was a form of ICP first described in the 1960s in the south-western state of Kerala in India.2 Even though the aetiology of this new condition was unknown, the clinical features of the new entity of chronic pancreatitis (CP) in young malnourished non-alcoholic subjects in poor tropical countries was so distinctive that, to distinguish it from alcoholic chronic pancreatitis (ACP), the term ‘TCP’ came into usage without much thought into its aetiological connotation and was accepted by the medical community. …

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  • Competing interests None.

  • Provenance and peer review Not commissioned; not externally peer reviewed.

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