Kashin‐Beck or Urov disease is described with authority by an astute scholar and clinician, Prof. Nesterov, Director of the Institute for Rheumatism and member of the Academy of Medical Sciences of the USSR in Moscow. The disease is a chronic, disabling, degenerative, generalized osteoarthrosis involving peripheral (symmetrical) joints and spine un‐associated with systemic or visceral manifestations. It occurs principally in childhood and results in growth disturbances. It is endemic in Eastern Siberia, Northern China and Northern Korea and is believed to be due to ingestion of cereal grain grown in these areas and infected with the fungus, Fusaria sporotrichiella. The incidence has been considerably reduced and hopefully will soon be eradicated by importing cereals from unaffected areas. This is a classic example of a generalized degenerative joint disease due to environmental causes, unrelated to genetic factors or inborn errors of metabolism.
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A I Nesterov (1964) studied this question.