A Case History

A 41 year-old male (Case #11) was evaluated in 1984 with chief complaints of suicidal depression, severe anxiety states, abdominal pain, pyrosis, chest congestion, headaches, mood changes, memory impairment, nausea, insomnia, and generalized malaise. Seventy-percent of his work involved repair of inflatable boats in an enclosed workspace. He worked routinely with epoxy resins, paint thinners, varnishes, and latex, which contained volatile hydrocarbons such as toluene and benzene. The acrylic adhesives contained isocyanates, a known pulmonary sensitizer. Working in excess of 50 hours per week his symptoms became more severe and he felt ill most of the time. Within seven months of the onset of his symptoms he had become totally disabled.

A pulmonary specialist diagnosed him as having toxic "occupational" asthma, induced by solvent exposure. A gastroenterologist determined that he had severe reflux esophagitis caused by the toluene exposure. Though the patient did not have a history of drug or alcohol abuse, he was referred to a a rehabilitation clinic. It was believed that his severe depression may have been associated with substance abuse. He was also placed on numerous psychotropic medications to combat his depression. All treatments proved unsuccessful.

Serum chemical analysis revealed an extremely high level of toluene at 39.0 ppb and antibodies to isocyanate, TMA and formaldehyde. He was placed on the BTR Program and his lungs cleared within 3 days. He completed 52 days of program time and his health had improved by 85%. He no longer suffered from severe toxic asthma, headaches, or depression. Post-BTR serum chemical analysis revealed no detectable levels of toluene, or any other volatile compounds.

Source:
Zane R. Gard, MD & Erma J. Brown, BSN, PhN, TLfDP, October 1992

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