Vol. 9, No 1, 2002 pp. 15 - 25
UC 616.61-004
BALKAN ENDEMIC NEPHROPATHY IN ROMANIA
Gheorghe Gluhovschi1, Florin Margineanu2,
Virginia Trandafirescu1, Adalbert Schiller1,
Ligia Petrica1,
Silvia Velciov1, Gheorghe Bozdog1,
Cristina Gluhovschi1, Flaviu Bob1
1University of Medicine and Pharmacy
"Victor Babes", Department of Nephrology, County Hospital, Timisoara, Romania,
2County Hospital, Drobeta Turnu Severin,
Romania
Summary. Balkan Endemic Nephropathy (BEN) is a disease with
many similar epidemiological aspects in the countries in which it occurs.
In spite of this, there are some particular aspects which have to be mentioned
concerning this disease in Romania. BEN has a familial character; it is
described in foci that consist of several families; sometimes families
affected by the disease are found in the same village as families that
are unaffected by BEN; also endemic villages may be encountered near unaffected
villages.
The clinico-biological picture of the disease is that of a tubulo-interstitial
nephropathy. The etiology of BEN is unknown. Several factors are considered
to be instrumental in the development of the disease: viral infections
and mycotoxins.
Key words: Balkan endemic nephropathy, epidemiology, etiology,
kidney morphology, diagnosis, treatment