Sensitivity multiple chemical T78.4

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 19.10.2023

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Synonym(s)

MCS

Definition
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Chemical exposure-induced "hypersensitivity" characterized by recurrent symptoms in various organs (see also eco-syndrome).

Etiopathogenesis
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Unknown. Rule out somatoform disorder.

Clinical features
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Non-specific symptoms such as itching, burning skin, fatigue, sleep disturbances, irritability, memory disorders; diarrhea, shortness of breath, feelings of anxiety.

In"sick-building syndrome", exhalations from buildings and indoor spaces are blamed as the cause of the complaints.

In electrical hypersensitivity, electrosmog, for example from overhead power lines, is blamed as the cause.

In the case of Gulf War Syndrome, radioactive warfare agents are blamed for triggering fatigue and other non-specific symptoms.

Diagnosis
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According to an MCS consensus the following parameters are required:
  • symptoms are reproducible by repeated exposure
  • Symptoms are caused by low concentrations (lower than generally tolerated) of different agents
  • Avoidance of exposure leads to improvement until full recovery
  • Reactions to multiple chemically unrelated substances
  • Symptoms concern multiple substances ( food additives, pesticides, drugs, indoor air pollutants, solvents, alcohols, perfume, cosmetics, clothing, plastics, chlorine, amalgam, car exhaust, ozone, etc.).

Differential diagnosis
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Sensitive skin syndrome: characteristic, subjective sensory perceptions such as a feeling of tension, abnormal stinging, burning, tingling, pain and itching defined, which significantly reduces the quality of life of those affected. Causative skin diseases are not present or can be excluded. Inconstantly associated is redness. Acceptable and objective screening tests are missing so far.

Therapy
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Avoidance of the triggering agents.

Literature
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  1. MCS-Consensus (1999) Multiple chemical sensitivity: a 1999 consensus. Arch Environ Health 54: 147-149
  2. Eggermann T et al. (2003) Multiple Chemical Sensitivity (MCS) strategies to elucidate genetic predispositions. Allergology 26: 280-286

Incoming links (2)

Mcs; Sensitive Skin-Syndrome ;

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 19.10.2023