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Related Experiment Video

Updated: May 11, 2026

Viability Assays for Cells in Culture
12:03

Viability Assays for Cells in Culture

Published on: January 20, 2014

Chemical sensitivity: pathophysiology or pathopsychology?

Stephen J Genuis1

  • 1Faculty of Medicine, University of Alberta, Edmonton, Alberta, Canada. sgenuis@ualberta.ca

Clinical Therapeutics
|May 7, 2013
PubMed
Summary

Chemical sensitivity (CS) is an emerging disorder triggered by toxic exposures. Management involves avoiding triggers and detoxification, though medical acceptance remains controversial.

Area of Science:

  • Environmental Health
  • Toxicology
  • Immunology

Background:

  • Growing numbers of individuals report diverse symptoms following low-level chemical exposures.
  • This condition, known as chemical sensitivity (CS), faces controversy in the medical community.
  • Common triggers include smoke, perfumes, paints, and glues.

Purpose of the Study:

  • To review the etiology, pathogenesis, clinical presentation, and management of CS.
  • To examine the medical community's response to this diagnosis.
  • To highlight the limited scientific literature available.

Main Methods:

  • Literature review of MEDLINE, toxicology journals, and environmental health periodicals.
  • Assessment of available medical and scientific literature.

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  • Utilized an integrated review format due to limited primary studies.
  • Main Results:

    • CS sensitization may result from a single toxic event or cumulative exposure.
    • Triggers can elicit various clinical and immune responses (lymphocyte, antibody, cytokine).
    • Symptom management includes trigger avoidance, desensitization, and detoxification.

    Conclusions:

    • Ubiquitous toxicant exposures contribute to the rise of CS disorders.
    • Novel disease mechanisms like CS often face medical controversy and resistance.
    • Knowledge translation regarding CS pathogenesis is slow but essential.