Seedat Yackoob K
Nelson R. Mandela School of Medicine, Faculty of Health Sciences, University of Natal, Durban, Republic of South Africa.
Semin Nephrol. 2003 Jan;23(1):12-20. doi: 10.1053/snep.2003.50001.
Glomerular disease in the tropics differs considerably from that in temperate climates and between the developed and the developing world. The prevalence and pattern of glomerular disease in the tropics in turn varies widely in different geographic regions and is influenced by environmental, nutritional, and socioeconomic factors. Among the infective agents that have been identified as contributing to an increased prevalence of glomerular disease in the tropics are Plasmodium malaria, Schistsomiasis mansoni, Mycobacterium leprosy, and hepatitis B virus (HBV). A decline in the prevalence can only be expected with the eradication of infections. Accurate knowledge of the prevalence, histologic features, and causes is essential to achieve prevention and management of glomerular diseases in the tropics.
热带地区的肾小球疾病与温带气候地区以及发达国家和发展中国家的情况有很大不同。热带地区肾小球疾病的患病率和模式在不同地理区域也有很大差异,并受到环境、营养和社会经济因素的影响。在已被确定导致热带地区肾小球疾病患病率增加的感染因子中,有疟原虫、曼氏血吸虫、麻风分枝杆菌和乙型肝炎病毒(HBV)。只有根除感染,患病率才有望下降。准确了解患病率、组织学特征和病因对于热带地区肾小球疾病的预防和管理至关重要。