Hausteiner C, Bornschein S, Förstl H, Zilker T
Toxikolog. Abt. der II. Med. Klinik und Poliklinik für Psychiatrie und Psychotherapie, TU München.
MMW Fortschr Med. 2003 Aug 21;145(33-34):31-4.
Multiple chemical sensitivity (MCS) poses a medical challenge. Proposed etiologies are as numerous as they are contradictory, direct and indirect costs are high, and patient suffering considerable. In the absence of objective diagnostic criteria, estimation of its prevalence is difficult. Nevertheless, establishment of the diagnosis is frequently strikingly uncritical. We support an holistic approach that gives consideration both to psychological and physical aspects, as well as taking account of the high level of comorbidity, and we warn against "over-diagnosis". Therapeutical approaches should consider carefully the risk of avoidance and social withdrawal.
多重化学物质敏感症（MCS）构成了一项医学挑战。其病因假说众多且相互矛盾，直接和间接成本高昂，患者痛苦不堪。由于缺乏客观的诊断标准，很难估计其患病率。然而，该病症的诊断往往极不严谨。我们支持一种综合的方法，既要考虑心理和身体方面，也要考虑高共病率，并警告要避免“过度诊断”。治疗方法应仔细考虑回避和社交退缩的风险。
