Goyal Mohit, Santhanam Sham
Division of Rheumatology, CARE Pain & Arthritis Centre, Udaipur, Rajasthan, India.
Department of Rheumatology, Kauvery Hospital, Alwarpet, Chennai, Tamil Nadu, India.
Best Pract Res Clin Rheumatol. 2025 May;39(2):102059. doi: 10.1016/j.berh.2025.102059. Epub 2025 Mar 27.
Tropical rheumatic diseases (TRDs) can be due to infectious as well as non-infectious causes. General and disease-specific risk factors have been identified as reasons for the prevalence of these diseases in the tropics. Predisposing factors such as higher temperatures and humidity are common in tropical countries. Other risk factors include high population density, poor nutrition, inadequate access to education and poor healthcare infrastructure. For most TRDs, the challenges are managing environmental factors, vectors, and interactions between them and the hosts. Strategies to control TRDs include tackling and accounting for deforestation and urbanization, increased travel and migration, climate change, and changes in the genetics and breeding patterns of infectious agents and vectors. The management of TRDs is taken up at individual or community, environmental, and political or organizational levels. It needs attention, as many of these TRDs are not now restricted to only the tropics.
热带风湿性疾病（TRDs）可能由感染性和非感染性原因引起。一般和特定疾病的风险因素已被确定为这些疾病在热带地区流行的原因。热带国家常见的诱发因素如较高的温度和湿度。其他风险因素包括人口密度高、营养不良、教育机会不足和医疗基础设施差。对于大多数TRDs来说，挑战在于管理环境因素、病媒以及它们与宿主之间的相互作用。控制TRDs的策略包括应对和考虑森林砍伐和城市化、旅行和移民增加、气候变化以及传染病原体和病媒的基因和繁殖模式变化。TRDs的管理在个人或社区、环境以及政治或组织层面进行。由于现在许多这些TRDs并不局限于热带地区，因此需要引起关注。
