6 Tweets Feb 04, 2023
Gooooood morning #medtwitter, and welcome to another round of #TriviaTuesday!
Check out the mini-vignettes below; each is meant to describe an endemic nephropathy. Try to name their corresponding regions, and we’ll post our answers in time for the evening commute!
Wow! Some of you really know your stuff. Kudos to @AStrasma @EdQian @Morgansb @cwgillihan for pegging at least one of these difficult diagnoses!
See the map below for answers:
And @Morgansb has a great point: another podcast we love, @IMreasoning, discusses Itai-Itai in one of their episodes.
Next up is the Balkan Peninsula, where a naturally-produces acid increases the risk of cancer.
Finally, we have Central America and Sri Lanka where strenuous labor and CKD seem to be linked.
The current leading hypothesis is that heat stress causes this endemic nephropathy, but other ideas merit consideration, too.

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