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Nephropathy Associated with Heat Stress and Exercise

Ann Intern Med. 1967;67(2):356-376. doi:10.7326/0003-4819-67-2-356
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Heat stress and exercise may result in severe medical consequences in both military and civilian populations. In World War I, Willcox (1) reported 462 heatstroke deaths in 1 month among British Expeditionary Forces arriving in Mesopotamia. Though on a much smaller scale in World War II, British troops in Iraq again suffered significant heat casualties (2). In a postmortem study, Malamud, Haymaker, and Custer (3) selected 125 fatal cases of heatstroke that occurred in the United States military training installations during World War II.

Several epidemics of heat illness in civilian populations have occurred in the United States (4-7). Gauss


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