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Medicina Legal de Costa Rica

On-line version ISSN 2215-5287Print version ISSN 1409-0015


MARIN TRIGUEROS, Daniel; GUADAMUZ HERNANDEZ, Sylvia; SUAREZ BRENES, Gabriel  and  SALAS GARITA, Francinny. Mesoamerican Nephropathy. Med. leg. Costa Rica [online]. 2020, vol.37, n.1, pp.121-129. ISSN 2215-5287.

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.

Keywords : Mesoamerican Nephropathy; Chronic Kidney Disease; Dehydration; Heat stress; Central America.

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