Magill M K, Suruda A
Department of Family and Preventive Medicine, University of Utah School of Medicine, Salt Lake City 84132, USA.
Am Fam Physician. 1998 Sep 1;58(3):721-8.
Multiple chemical sensitivity (MCS) is a syndrome in which multiple symptoms reportedly occur with low-level chemical exposure. Several theories have been advanced to explain the cause of MCS, including allergy, toxic effects and neurobiologic sensitization. There is insufficient scientific evidence to confirm a relationship between any of these possible causes and symptoms. Patients with MCS have high rates of depression, anxiety and somatoform disorders, but it is unclear if a causal relationship or merely an association exists between MCS and psychiatric problems. Physicians should compassionately evaluate and care for patients who have this distressing condition, while avoiding the use of unproven, expensive or potentially harmful tests and treatments. The first goal of management is to establish an effective physician-patient relationship. The patient's efforts to return to work and to a normal social life should be encouraged and supported.
多重化学物质敏感症（MCS）是一种据报道在低水平化学物质暴露时会出现多种症状的综合征。已经提出了几种理论来解释MCS的病因，包括过敏、毒性作用和神经生物学致敏。没有足够的科学证据来证实这些可能的病因与症状之间的关系。MCS患者中抑郁症、焦虑症和躯体形式障碍的发生率很高，但尚不清楚MCS与精神问题之间是因果关系还是仅仅是一种关联。医生应该同情地评估和照顾患有这种痛苦病症的患者，同时避免使用未经证实、昂贵或有潜在危害的检查和治疗方法。治疗的首要目标是建立有效的医患关系。应该鼓励和支持患者努力重返工作岗位和恢复正常的社交生活。
