Chronic interstitial nephritis of agricultural communities: continuing with the term CKDu (chronic kidney disease of unknown cause) is detrimental

Enigma of an endemic chronic kidney disease: the quest for the Holy Grail of etiology

“…6 The name CKDu is highly misleading as it confusingly mixes up all CKD of unknown cause together, which includes those presenting with small kidneys with uncertain diagnosis, those labelled as of unknown cause when diagnostic facilities are poor, and those with other idiopathic chronic tubulo-interstitial nephropathies. 7,8 It has been proposed that the name "chronic interstitial nephropathy of agricultural communities" (CINAC) is a more appropriate common term for this CKD, 9 as the two factors, namely, that it is a chronic tubulo-interstitial https://orcid.org/0000-0002-2901-4866 nephropathy (CTIN), and that almost all affected are from areas of high agricultural activity, are two of the identified common "signatures" of the disease.…”