Mesoamerican Nephropathy

Authors

  • Daniel Marín Trigueros Médico General, Universidad de Costa Rica. Costa Rica.
  • Sylvia Guadamuz Hernandez Médico General, Universidad de Costa Rica. Costa Rica.
  • Gabriel Suarez Brenes Médico General, Universidad de Costa Rica. Costa Rica.
  • Francinny Salas Garita Médico General, Universidad de Ciencias Médicas (UCIMED). Costa Rica.

Keywords:

Mesoamerican Nephropathy, Chronic Kidney Disease, Dehydration, Heat stress, Central America Source: DeCS (Descriptors in Health Sciences)

Abstract

Since the 1990s, an increase in the prevalence of chronic kidney disease (CKD) in several countries in Central America began to be noticed. This increase has occurred mainly in agricultural workers within that region, who are subjected to high temperatures, which led to its designation as Mesoamerican Nephropathy (MeN). Although its etiology is not clarified, it is considered that there is an occupational and environmental component involved. In this article, its main characteristics are described, including what is known about its possible etiology, diagnosis and prevention and treatment strategies.

References

1. Almaguer, M., Herrera, R., & Orantes, C. M. (2014). Enfermedad renal crónica de causa desconocida en comunidades agrícolas. MEDICC Review, 16(2), 9-15.

2. Jayasinghe, S. (2014). La enfermedad renal crónica de etiología desconocida debe ser renombrada como nefropatía crónica por agroquímicos. Medicc Review, 16(2), 72-74.

3. Wesseling, C., & Weiss, I. (2017). Enfermedad renal crónica de etiología desconocida o de origen no tradicional: ¿una epidemia global? Archivos de Prevención de Riesgos Laborales, 20(4), 200-202.

4. García-Trabanino, R., Cerdas, M., Madero, M., Jakobsson, K., Barnoya, J., Crowe, J., & Correa-Rotter, R. (2017). Nefropatía mesoamericana: revisión breve basada en el segundo taller del Consorcio para el estudio de la Epidemia de Nefropatía en Centroamérica y México (CENCAM). Nefrología Latinoamericana, 14(1), 39-45.

5. Correa, R., & García, R. (2018). Nefropatía mesoamericana: una nueva enfermedad renal crónica de alta relevancia regional. Acta Médica Grupo Ángeles, 16(S1), 16-22.

6. Wijkström, J., Leiva, R., Elinder, C. G., Leiva, S., Trujillo, Z., Trujillo, L., & Wernerson, A. (2013). Clinical and pathological characterization of Mesoamerican nephropathy: a new kidney disease in Central America. American Journal of Kidney Diseases, 62(5), 908-918.

7. Correa-Rotter, R., Wesseling, C., & Johnson, R. J. (2014). CKD of unknown origin in Central America: the case for a Mesoamerican nephropathy. American Journal of Kidney Diseases, 63(3), 506-520.

8. Johnson, R. J., Wesseling, C., & Newman, L. S. (2019). Chronic kidney disease of unknown cause in agricultural communities. New England Journal of Medicine, 380(19), 1843-1852.

9. Elinder, C. G., Wernerson, A., & Wijkstrom, J. (2015). Mesoamerican nephropathy (MeN). A “new” chronic kidney disease related to occupational heat exposure with repeated deprivation of salts and water. Int J Nephrol Kidney Fail, 1(2), 1-9.

10. Elinder, C. G., & Wernerson, A. (2019). Mesoamerican Nephropathy. UptoDate. Recuperado el 06 de Octubre del 2019 desde https://www-uptodate-com.ezproxy.sibdi.ucr.ac.cr/contents/mesoamericannephropathy?source=history_widget

11. Wesseling, C., de Joode, B. V. W., Crowe, J., Rittner, R., Sanati, N. A., Hogstedt, C., & Jakobsson, K. (2015). Mesoamerican nephropathy: geographical distribution and time trends of chronic kidney disease mortality between 1970 and 2012 in Costa Rica. Occup Environ Med, 72(10), 714-721.

12. Wegman, D., Crowe, J., Hogstedt, C., Jakobsson, K., & Wesseling, C. (2016). Mesoamerican nephropathy: report from the second international research workshop on MeN.

13. Roncal-Jimenez, C., Lanaspa, M. A., Jensen, T., Sanchez-Lozada, L. G., & Johnson, R. J. (2015). Mechanisms by which dehydration may lead to chronic kidney disease. Annals of Nutrition and Metabolism, 66(Suppl. 3), 10-13.

14. Lorenzo, A. D., & Liaño, F. (2017). Altas temperaturas y nefrología: a propósito del cambio climático. Nefrología (Madrid), 37(5), 492-500.

15. Johnson, R. J., Glaser, J., & Sánchez-Lozada, L. G. (2014). Enfermedad renal crónica de etiología desconocida: ¿una enfermedad relacionada con el calentamiento global? MEDICC review, 16(2), 79.

16. Johnson, R. J., & Sánchez-Lozada, L. G. (2013). Chronic kidney disease: mesoamerican nephropathy—new clues to the cause. Nature Reviews Nephrology, 9(10), 560.

17. Robey, R. B. (2014). Cyclical dehydration-induced renal injury and Mesoamerican nephropathy: as sweet by any other name? Kidney international, 86(2), 226-229.

18. Roncal-Jimenez, C., García-Trabanino, R., Wesseling, C., & Johnson, R. J. (2016). Mesoamerican nephropathy or global warming nephropathy? Blood purification, 41(1-3), 135-138.

19. Wijkström, J., González-Quiroz, M., Hernandez, M., Trujillo, Z., Hultenby, K., Ring, A., & Wernerson, A. (2017). Renal morphology, clinical findings, and progression rate in Mesoamerican nephropathy. American Journal of Kidney Diseases, 69(5), 626-636.

20. Fischer, R. S., Vangala, C., Truong, L., Mandayam, S., Chavarria, D., Llanes, O. M. G., & Murray, K. O. (2018). Early detection of acute tubulointerstitial nephritis in the genesis of Mesoamerican nephropathy. Kidney international, 93(3), 681-690.

Published

2020-11-17

Most read articles by the same author(s)