Haematological features of the population of the area of Croatia, Yugoslavia, endemic for Balkan nephropathy.

Normochromic, normocytic anaemia is a sign recognized as essential for the diagnosis of Balkan endemic nephropathy, although its relationship to the disease is still unclear. The aim of this study was to investigate whether a random sample of the population of a village endemic for nephropathy differed from the population of a village with no clinical case of nephropathy with respect to certain basic haematological parameters. During a screening campaign in 1984, 133 blood samples were collected from the endemic village and 40 from the nonendemic village and analysed for a number of haematological parameters; in 1991, 449 samples were collected in the endemic village and 156 in the nonendemic village and analysed for haemoglobin content and red blood cell count. Whereas in 1984 the haemoglobin content and red blood cell count were significantly lower in the endemic village (p less than 0.01), in 1991 the erythrocyte count was much lower in the nonendemic village and there was no difference in haemoglobin concentration. Several controversial explanations, all of them speculative, are offered.