title: [Multiple chemical sensitivity in sick-building syndrome].
abstract: The sick building syndrome includes irritation of the eyes and the respiratory tract neurotoxicity affectation and skin problems, which can occur in individuals under improperly ventilated buildings. Poor air quality, as shown in CO2 atmospheric levels of more than 1,000 ppm, results in a pathological exposure to biological and chemical products. We present a work-related case of multiple chemical hypersensitivity from a dialysis unit that had no air renewal. This person, who was summitted to continuous exposure despite having taken corrective measures in the ventilation, developed chronic fatigue syndrome. An acoustic voice observation alerted of the case which led to the analysis of the environmental conditions which confirmed the relationship between multiple chemical hypersensitivity and chronic fatigue syndrome. This case stresses the neglected fact that all health service centres pose a high risk of chemical exposure and that there exists a lack of rigoroursness in putting in practice scientific medical knowledge.
authors.affiliation: Inmunología y Medicina Interna, Servicio de Reumatología, Centro Internacional Medicina Avanzada (CIMA), Servei Acreditat Cat Salut, Barcelona, Spain.
authors.forename: Pablo A
authors.initials: PA
authors.lastname: Arnold Llamosas
authors.forename: Pilar
authors.initials: P
authors.lastname: Arrizabalaga Clemente
authors.forename: Montserrat
authors.initials: M
authors.lastname: Bonet Agusti
authors.forename: Xavier
authors.initials: X
authors.lastname: de la Fuente Brull
mesh_terms: D016902:Air Pollution, Indoor; D015673:Fatigue Syndrome, Chronic / Q000175:diagnosis*; D005260:Female; D006436:Hemodialysis Units, Hospital; D006801:Humans; D008875:Middle Aged; D018777:Multiple Chemical Sensitivity / Q000175:diagnosis*; D009784:Occupational Diseases / Q000175:diagnosis*; D018877:Sick Building Syndrome / Q000175:diagnosis*; D014832:Voice Disorders / Q000209:etiology