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Published on: May 2, 2018
Effects of toxic exposure to molds and mycotoxins in building-related illnesses
William J Rea1, Nancy Didriksen, Theodore R Simon
1Environmental Health Center-Dallas, Dallas, Texas 75231-4262, USA. wjr@ehcd.com
Abstract:
The authors studied 100 patients who had been exposed to toxic molds in their homes. The predominant molds identified were Alternaria, Cladosporium, Aspergillus, Penicillium, Stachybotrys, Curvularia, Basidiomycetes, Myxomycetes, smuts, Epicoccus, Fusarium, Bipolaris, and Rhizopus. A variety of tests were performed on all, or on subgroups of, these patients. Sensitivities and exposures were confirmed in all patients by intradermal skin testing for individual molds (44-98% positive), and by measurement of serum antibodies. Abnormalities in T and B cells, and subsets, were found in more than 80% of the patients. The findings of trichothecene toxin and breakdown products in the urine, serum antibodies to molds, and positive intradermal skin tests confirmed mycotoxin exposure. Respiratory signs (e.g., rhinorrhea, sinus tenderness, wheezing) were found in 64% of all patients, and physical signs and symptoms of neurological dysfunction (e.g., inability to stand on the toes or to walk a straight line with eyes closed, as well as short-term memory loss) were identified in 70% of all patients. Objective abnormal autonomic nervous system tests were positive in all 100 patients tested. Brain scans, conducted using triple-head single photon emission computed tomography, were abnormal in 26 (86%) of 30 (subgroup of the 100) patients tested. Objective neuropsychological evaluations of 46 of the patients who exhibited symptoms of neurological impairment showed typical abnormalities in short-term memory, executive function/judgment, concentration, and hand/eye coordination.
Insights
Exposure to toxic molds significantly impacts health, causing immune, respiratory, and neurological dysfunction in patients. Objective tests confirmed widespread autonomic nervous system and brain abnormalities in mold-exposed individuals.
Area of Science:
- Environmental Medicine
- Toxicology
- Immunology
Background:
- Household exposure to toxic molds is a growing concern.
- Molds produce mycotoxins that can adversely affect human health.
- Previous studies suggest links between mold exposure and various health issues.
Purpose of the Study:
- To investigate the health effects of toxic mold exposure in 100 patients.
- To confirm mold exposure and assess immune, respiratory, and neurological impacts.
- To evaluate autonomic nervous system function and brain imaging in affected individuals.
Main Methods:
- Intradermal skin testing and serum antibody measurements confirmed mold sensitivities and exposure.
- Analysis of T and B cell subsets, and urine for mycotoxins.
- Clinical examinations for respiratory and neurological symptoms, autonomic nervous system testing, brain SPECT scans, and neuropsychological evaluations were performed.
Main Results:
- Over 80% of patients showed immune system abnormalities (T and B cells).
- Confirmed mycotoxin exposure via urine analysis.
- 64% experienced respiratory symptoms, and 70% had neurological dysfunction.
- All patients tested had abnormal autonomic nervous system tests.
- Brain scans were abnormal in 86% of the subgroup analyzed.
- Neuropsychological tests revealed deficits in memory, concentration, and coordination.
Conclusions:
- Toxic mold exposure is associated with significant immune, respiratory, and neurological health problems.
- Autonomic nervous system dysfunction and brain abnormalities are prevalent in individuals exposed to toxic molds.
- Further research is warranted to understand the long-term effects and develop effective treatments.
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