Fibromylagia
and Multiple Chemical Sensitivity Syndrome
Fibromylagia (FM) and Multiple
Chemical Sensitivity Syndrome (MCS) are clinically and demographically similar:
both are multi-system chronic conditions, mostly affecting women, with an unknown
etiology. This study attempted to determine the prevalence of MCS among FM patients,
and to compare FM patients with and without MCS.
MCS involves recurrent multi-system
symptoms arising out of exposure to a variety of common chemical substances.
The researchers distributed a questionnaire to 60 FM patients to evaluate their
individual experiences with chemicals in everyday life. The criterion for MCS
is if a patient, “experiences symptoms in at least 3 organ systems when exposed
to at least 4 common unrelated substances.” The researchers found that 33 of
the 60 FM patients—55%—also fit the diagnostic criteria for MCS; furthermore,
of the 55%, 11 met restrictive criteria, indicating a “higher degree” of chemical
sensitivity. Upon comparing the two sets of FM patients, no significant differences
in symptoms were noted:
“Interestingly, the presence
of MCS did not distinguish a subgroup of FM patients with differing symptomatology,
suggesting that this increased “reactivity” to the environment may be an additional
allied condition in the spectrum of FM, such as irritable bowel syndrome,
migraine headaches, and temporomandibular joint syndrome.”
Slotkoff AT, Radulovic
DA, Clauw DJ. The relationship between fibromyalgia and the multiple chemical
sensitivity syndrome. Scandinavian Journal of Rheumatology 1997;26:364-367.
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