1997
DOI: 10.1016/s0140-6736(05)70453-0
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Fungal contamination in barley and Kashin-Beck disease in Tibet

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Cited by 59 publications
(56 citation statements)
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“…A variety of hypotheses (Fang 1988;Zamana 1995;Chasseur et al 1997;La et al 2001;Chasseur et al 2001;Suetens et al 2001) have been proposed since 1849 when the disease was first discovered in Russia. Selenium deficiency in the environment, organic matter in drinking water, and fungal contamination in stored grains or food are three dominating opinions on the etiology of KBD (Tan et al 1988).…”
Section: Introductionmentioning
confidence: 99%
“…A variety of hypotheses (Fang 1988;Zamana 1995;Chasseur et al 1997;La et al 2001;Chasseur et al 2001;Suetens et al 2001) have been proposed since 1849 when the disease was first discovered in Russia. Selenium deficiency in the environment, organic matter in drinking water, and fungal contamination in stored grains or food are three dominating opinions on the etiology of KBD (Tan et al 1988).…”
Section: Introductionmentioning
confidence: 99%
“…Previous epidemiological investigations in endemic KBD areas on the Tibetan plateau have revealed agroenvironmental conditions favourable to the severe infection of barley grains by fungi belonging to the Drechsera, Trichotecium and Alternaria genera [4]. In Tibet, both its high altitude and the extremely severe weather conditions affect the availability of natural resources and the use of land [7].…”
Section: Introductionmentioning
confidence: 99%
“…Even if, for methodological reasons, it is impossible to compare clinical data from Tibet [10] with those from Yulin in China, it seems that the lesions in KBD patients living in Yulin are less severe than in Tibetans. Fungi present in cereals exposed to humidity for long periods have also been implicated in the pathogenesis of KBD [2]. Mycotoxins were not specifically measured, but it is known that grain humidity and the presence of fungal contamination in grain are directly associated with the presence of mycotoxins [6].…”
Section: Discussionmentioning
confidence: 99%
“…Two-hundred and fifty gram cereal samples (barley) were collected from each family and stored in paper bags at 0-4°C while awaiting mycological examination. The humidity of the grain was determined on whole grains as in the Tibet study [2]. Their water content is the value obtained after grinding the grain [19].…”
Section: Methodsmentioning
confidence: 99%