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Idiopathic environmental intolerances: overview.

¹Occupational and Environmental Medicine and Clinical Toxicology, Mercer Island, Washington 98040, USA.

Occupational Medicine (Philadelphia, Pa.)

|July 21, 2000

Summary

This article clarifies terminology for idiopathic environmental intolerance (IEI), also known as multiple chemical sensitivity (MCS) or environmental illness. It covers prevalence, causes, diagnosis, treatment, and societal impacts.

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Area of Science:

Environmental Medicine
Clinical Toxicology
Public Health

Background:

The terms "idiopathic environmental intolerance," "multiple chemical sensitivity," and "environmental illness" are frequently used interchangeably.
This ambiguity can hinder clear communication and research in the field.

Purpose of the Study:

To critically examine the terminology used to describe conditions related to environmental exposures.
To provide a comprehensive overview of idiopathic environmental intolerance (IEI).

Main Methods:

Literature review and synthesis of existing research.
Discussion of epidemiological data and etiological theories.
Analysis of clinical evaluation, treatment approaches, and socio-political contexts.

Main Results:

Clarification of the distinctions and overlaps between "idiopathic environmental intolerance," "multiple chemical sensitivity," and "environmental illness."
Summary of current understanding regarding prevalence and proposed causes.
Overview of diagnostic challenges and therapeutic strategies.

Conclusions:

Standardized terminology is crucial for advancing research and clinical practice in IEI.
A multidisciplinary approach is necessary to address the complexities of IEI, including its social and political dimensions.

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