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农业社区的不明原因慢性肾脏病
Chronic Kidney Disease of Unknown Cause in Agricultural Communities


Richard J. Johnson ... 其他 • 2019.05.09
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近年来,世界各地的农业工人以及其他体力劳动者中出现了许多慢性肾脏病病例。这种慢性肾脏病似乎不是由肾脏病的典型原因(例如糖尿病、高血压和肾小球疾病)引起。在这篇综述中,我们描述了这些地区这一劳动力群体中多发的慢性肾脏病的临床表现和流行病学,以及可能的原因。这种疾病与在高温环境下工作和生活密切相关,但病因是毒素、感染原、高温相关损伤,还是多种因素的综合作用,目前尚不清楚。我们还讨论了我们在理解农业社区慢性肾脏病的过程中提出的一些假设和存在的局限性。





作者信息

Richard J. Johnson, M.D., Catharina Wesseling, M.D., Ph.D., and Lee S. Newman, M.D.
From the Division of Renal Diseases and Hypertension (R.J.J.), the Colorado Consortium on Climate Change and Health (R.J.J., L.S.N.), the Center for Health, Work & Environment, and the Departments of Environmental and Occupational Health and Epidemiology, Colorado School of Public Health (L.S.N.), and the Division of Pulmonary Sciences and Critical Care Medicine (L.S.N.), University of Colorado Anschutz Medical Campus, and the Division of Nephrology, Rocky Mountain Regional Veterans Health Administration Hospital, Department of Veterans Affairs (R.J.J.) — all in Aurora; the Unit of Occupational Medicine, Institute of Environmental Medicine, Karolinska Institutet, Stockholm (C.W.); and La Isla Network, Washington, DC (C.W.). Address reprint requests to Dr. Johnson at the Division of Renal Diseases and Hypertension, University of Colorado Anschutz Medical Campus, 12700 E. 19th Ave., Rm. 7012, Mail Stop C281, Aurora, CO 80045, or at richard.johnson@ucdenver.edu.

 

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