Dhananjay Ookalkar
1 
, Ashwini Ookalkar
1 , V.L. Gupta
1 , Manish R Balwani
2* 1 Department of Nephrology, Ashwini Kidney Care Center, Nagpur, Maharashtra, India.
2 Department of Nephrology, Jawaharlal Nehru Medical College, Sawangi, Wardha, Maharashtra, India.
Abstract
We present a case series of patients with chronic kidney disease of unknown etiology (CKDu) coming from a well-defined geographic area, Yavatmal, district of Maharashtra, in central of India. These patients presented with advanced renal failure, variable proteinuria, and bilateral hyperechoic kidneys, largely normotensive and belonged to poor economic class from agricultural communities. The study highlights the need for large epidemiological survey in Yavatmal region to detect patients with CKDu and investigate the possible etiology.