Rea W J, Ross G H
Environmental Health Center, Dallas, Texas.
Bol Asoc Med P R. 1991 Jul;83(7):310-5.
Susceptibility to environmental incitants such as air, food and water components is becoming an increasingly recognized health problem. These sensitivities and reactions can induce a spectrum of symptoms affecting smooth muscle, mucous membranes and collagen in the respiratory, gastrointestinal, genitourinary and vascular systems. These reactions may be mistaken for hypochondriasis, but actually are due to reactions to foods and chemicals found in the patient's home and work environments. Careful clinical histories should alert the nurse and physician, who can confirm suspicions by eliminating and challenging the patient with potentially offending agents under controlled circumstances.
对环境诱因（如空气、食物和水成分）的易感性正成为一个日益得到认可的健康问题。这些敏感性和反应可引发一系列症状，影响呼吸、胃肠、泌尿生殖和血管系统中的平滑肌、黏膜和胶原蛋白。这些反应可能被误诊为疑病症，但实际上是对患者家庭和工作环境中发现的食物和化学物质的反应。详细的临床病史应引起护士和医生的警觉，他们可以通过在可控环境下让患者接触可能的致病因素并加以排除和激发来证实怀疑。
