We acknowledge some of the points raised by Drs Wimalawansa and Ileperuma1 and thank them for their interest in our article. However, we respectfully maintain our position that these types of kidney diseases need to be named with more clarity than just a term that indicates their geographical occurrence, such as “MesoAmerican nephropathy” or “Udhanam nephropathy,” or a term that does not reflect strong associations, such as “CKD-U.”