Mediouni Z, Potherat G, Barrere X, Debure A, Descatha A
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. Mediouni et al. 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.