<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1409-0015</journal-id>
<journal-title><![CDATA[Medicina Legal de Costa Rica]]></journal-title>
<abbrev-journal-title><![CDATA[Med. leg. Costa Rica]]></abbrev-journal-title>
<issn>1409-0015</issn>
<publisher>
<publisher-name><![CDATA[Asociación Costarricense de Medicina Forense]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1409-00152020000100121</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Nefropatía Mesoamericana]]></article-title>
<article-title xml:lang="en"><![CDATA[Mesoamerican Nephropathy]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Marín Trigueros]]></surname>
<given-names><![CDATA[Daniel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guadamuz Hernandez]]></surname>
<given-names><![CDATA[Sylvia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Suarez Brenes]]></surname>
<given-names><![CDATA[Gabriel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Salas Garita]]></surname>
<given-names><![CDATA[Francinny]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Costa Rica  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Costa Rica</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad de Ciencias Médicas  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Costa Rica</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2020</year>
</pub-date>
<volume>37</volume>
<numero>1</numero>
<fpage>121</fpage>
<lpage>129</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_arttext&amp;pid=S1409-00152020000100121&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_abstract&amp;pid=S1409-00152020000100121&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_pdf&amp;pid=S1409-00152020000100121&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen Desde la década de 1990, se comenzó a notar un incremento en la prevalencia de enfermedad renal crónica (ERC) a nivel de Centroamérica. Este incremento se ha presentado principalmente en trabajadores de campos agrícolas en esa región, quienes se encuentran sometidos a elevadas temperaturas, lo que condujo a su designación como nefropatía mesoamericana (MeN por sus siglas en inglés). Aunque su etiología no está esclarecida, se considera que existe un componente ocupacional y ambiental involucrado. El presente artículo, describe sus principales características, su posible etiología, diagnóstico y estrategias de prevención y tratamiento.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[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.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Mesoamericana]]></kwd>
<kwd lng="es"><![CDATA[enfermedad renal crónica]]></kwd>
<kwd lng="es"><![CDATA[deshidratación]]></kwd>
<kwd lng="es"><![CDATA[estrés térmico]]></kwd>
<kwd lng="es"><![CDATA[Centroamérica]]></kwd>
<kwd lng="en"><![CDATA[Mesoamerican Nephropathy]]></kwd>
<kwd lng="en"><![CDATA[Chronic Kidney Disease]]></kwd>
<kwd lng="en"><![CDATA[Dehydration]]></kwd>
<kwd lng="en"><![CDATA[Heat stress]]></kwd>
<kwd lng="en"><![CDATA[Central America]]></kwd>
</kwd-group>
</article-meta>
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