Levy F
Department of Environmental and Occupational Medicine (MYMUS), Centre for Preventive Medicine, Ullevål University Hospital, Oslo, Norway.
Scand J Work Environ Health. 1997;23 Suppl 3:69-73.
Multiple chemical sensitivity (MCS) could be called a phenomenon rather than an illness. No single widely accepted test of physiological function can be shown to correlate with the symptoms presented by the patients. In addition to allergy and asthma, patient history can include various "illnesses", and the "diagnosis" is often made by the patient, usually alone or with the help of clinical ecologists. This paper reports the experiences from a department of occupational medicine. More than 80% of the patients were women and solvent exposure was the most common cause of chemical intolerance reported by the patients. Many patients also reported psychosocial stressors. The patients also showed mood disorders with irritability, anxiety, sleep disturbances and depression, often with thoughts centered around different organ symptoms. The symptomatology of MCS is still nonspecific and in no way diagnostic of a specific illness or a medically acceptable syndrome. It may indicate many other conditions, both organic disease and psychopathology.
多重化学物质敏感症（MCS）与其说是一种疾病，不如说是一种现象。尚无任何一项被广泛接受的生理功能测试能显示出与患者所表现出的症状相关。除了过敏和哮喘，患者病史可能包括各种“疾病”，而且“诊断”通常由患者自己做出，通常是独自进行，或者在临床生态学家的帮助下进行。本文报告了职业医学科的经验。超过80%的患者为女性，溶剂接触是患者报告的化学不耐受最常见的原因。许多患者还报告了社会心理压力源。患者还表现出情绪障碍，如易怒、焦虑、睡眠障碍和抑郁，其思绪常常围绕着不同的器官症状。MCS的症状学仍然不具有特异性，绝不能诊断出特定的疾病或医学上可接受的综合征。它可能表明许多其他情况，包括器质性疾病和精神病理学。
