Official websites use. Share sensitive information only on official, secure websites. The etiological work-up of a disease with an occupational component, such as renal failure associated with exposure to organic solvents, may include several complementary investigations. We discussed certain elements of the aetiological work-up in the light of a clinical case, particularly the individual and collective advantages and disadvantages of this work-up. Further investigations would not have provided the patient with any individual or collective benefit and were therefore not performed, while other investigations environmental studies, screening of fellow workers may provide collective rather than individual benefits, but must be decided by a multidisciplinary approach.
A multidisciplinary study general practitioner, nephrologist, occupational health physician and specialist in toxicology is necessary to discuss the appropriate aetiological work-up, taking into account the individual and collective benefit-risk balance.
The etiological work-up of chronic kidney disease with renal failure often includes a search for toxic causes, including environmental or occupational causes [ 1 ]. However, although many investigations are now frequently performed in patients as a result of recent progress, the individual and collective benefit-risk balance of the aetiological work-up must be carefully considered.
The advantages and disadvantages of complementary investigations and subsequent management will be discussed in the light of a case report concerning patient consulting an occupational health unit. A year-old man was referred by his occupational physician to our occupational medicine unit for an advice concerning occupational management following the discovery of advanced chronic renal failure declared as occupational disease, fitness for work.
Laboratory tests performed in a context of deteriorating asthenia and recently discovered severe hypertension showed elevated serum creatinine of mol.
