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Volume 340:1052 April 1, 1999 Number 13
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Environmental Illness: Myth and reality

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By Herman Staudenmayer. 376 pp. Boca Raton, Fla., Lewis, 1999. (Distributed by CRC Press, Boca Raton, Fla.) $79.95. ISBN 1-56670-305-0.

Environmental illness is a variably defined collection of symptoms also known as multiple chemical sensitivity syndrome, total allergy syndrome, and 20th century disease. It is currently classified among functional somatic syndromes — that is, physical illnesses without organic explanations and devoid of demonstrable structural lesions or reproducible laboratory abnormalities. The category also includes chronic fatigue syndrome, fibromyalgia, irritable bowel syndrome, premenstrual syndrome, interstitial cystitis, temporomandibular joint pain syndrome, repetitive strain injury syndrome, and atypical chest pain syndrome.

The degree to which these syndromes have been characterized as unique entities spans a considerable spectrum. At one end is premenstrual syndrome, a . . . [Full Text of this Article]




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