By Yukio Yanagisawa, Hiroshi Yoshino, Satoshi Ishikawa, Mikio Miyata
Written through multidisciplinary specialists in drugs, chemistry, and structure, this booklet examines chemical sensitivity (CS). In 15 chapters suited for 15 lectures, it discusses not just the clinical rationalization, but in addition the environmental components of this hypersensitivity, equivalent to chemistry and architectural points. The ebook overviews pollution-induced illnesses equivalent to Minamata illness. It additionally issues out the similarity of contemporary allergy syndromes to old toxins illnesses from the viewpoints of not just typical clinical features, but additionally social figuring out of the disease.
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Additional info for Chemical Sensitivity and Sick-Building Syndrome
2 Specific Education for Dentists Many patients react to a curative medicine. A dental care agent contains a small quantity, resulting in a sensitive reaction. General anesthesia is a kind of acute intoxication. Therefore, in general anesthesia, a sensitive reaction does not appear easily. Anesthesia using xenon should be considered for patients who can never receive general anesthesia. Consideration of allergy to metal is important. Although dentists request patch tests from dermatologists during dental care using metals, it is possible for them to carry these out on their own.
1 DETAILED AND CAREFUL INTERVIEW The first step in the diagnosis of sick-house syndrome (SHS) and chemical sensitivity (CS) begins with determining the etiological factor. Before examining a patient, doctors in the Kitasato University clinic send an interview sheet including 11 pages of the Quick Environmental Exposure and Sensitivity Inventory (QEESI®) by C. S. Miller . The questionnaire includes the history of local and systematic allergy, medical treatment in dental procedures, occupation, birthplace, relocation and reconstruction/modification, living environment, the medicines used, food, luxury goods, and so forth.
5-Hz loading improved 10 months after the treatment of CS. Abnormal staircase pursuit of the eye movements was markedly improved. 2 Pupillary Function CS patients experience both central and autonomic nervous system dysfunction. This abnormality of automatic nervous system dysfunction can be well diagnosed by examining the pupillary reaction to light stimuli. A patient goes into a darkroom to let his or her pupil dilate by pre-dark adaptation. About 10 minutes of pre-dark adaptation is necessary to let the pupil fully dilate.