Purpose Multiple chemical sensitivity (MCS) also known as idiopathic environmental intolerance/illness (IEI) encompasses a cohort of subjective symptoms characterized by susceptibility to a wide spectrum of environmental compounds, causing symptoms involving various organs and a decrease in quality of life. The aim of this systematic review is to summarize evidence about MCS, with focus on indexed studies analyzing sensory pathway-related disorders.Methods Medical databases were searched for English language articles related to the topic, published between 1965 and 2017 in academic, peer-reviewed journals. Particular focus was concentrated on articles depicting disturbances involving sensory organs. References of the relevant articles were examined to identify additional significant documents.Results Fifty-eight studies were eligible for full text review. Of these, 34 studies met the selection criteria and were included in this analysis. Many variables, such as different diagnostic criteria, lack of homogeneous symptom questionnaires and the general incidence of personality traits in control subjects, biased studies as confounding factors. However, moderate evidences show that sensory pathways are somewhat altered, especially with respect to information processing in the limbic system and related cortical areas. Recent studies suggested the presence, in MCS cohorts, of attention bias, sensitization and limbic kindling, as well as recently revealed subclinical organic alterations along sensory pathways.Conclusions Evidences are consistent with MCS/IEI to be the result of a neural altered processing of sensorial ascending pathways, which combined with peculiar personality traits constitutes the underpinning of a multisensory condition needing multidisciplinary clinical approach.

Viziano, A., Micarelli, A., Pasquantonio, G., Della Morte, D., Alessandrini, M. (2018). Perspectives on multisensory perception disruption in idiopathic environmental intolerance: a systematic review. INTERNATIONAL ARCHIVES OF OCCUPATIONAL AND ENVIRONMENTAL HEALTH, 91(8), 923-935 [10.1007/s00420-018-1346-z].

Perspectives on multisensory perception disruption in idiopathic environmental intolerance: a systematic review

Pasquantonio G.;Della Morte D.;Alessandrini M.
Membro del Collaboration Group
2018-01-01

Abstract

Purpose Multiple chemical sensitivity (MCS) also known as idiopathic environmental intolerance/illness (IEI) encompasses a cohort of subjective symptoms characterized by susceptibility to a wide spectrum of environmental compounds, causing symptoms involving various organs and a decrease in quality of life. The aim of this systematic review is to summarize evidence about MCS, with focus on indexed studies analyzing sensory pathway-related disorders.Methods Medical databases were searched for English language articles related to the topic, published between 1965 and 2017 in academic, peer-reviewed journals. Particular focus was concentrated on articles depicting disturbances involving sensory organs. References of the relevant articles were examined to identify additional significant documents.Results Fifty-eight studies were eligible for full text review. Of these, 34 studies met the selection criteria and were included in this analysis. Many variables, such as different diagnostic criteria, lack of homogeneous symptom questionnaires and the general incidence of personality traits in control subjects, biased studies as confounding factors. However, moderate evidences show that sensory pathways are somewhat altered, especially with respect to information processing in the limbic system and related cortical areas. Recent studies suggested the presence, in MCS cohorts, of attention bias, sensitization and limbic kindling, as well as recently revealed subclinical organic alterations along sensory pathways.Conclusions Evidences are consistent with MCS/IEI to be the result of a neural altered processing of sensorial ascending pathways, which combined with peculiar personality traits constitutes the underpinning of a multisensory condition needing multidisciplinary clinical approach.
2018
Pubblicato
Rilevanza internazionale
Articolo
Esperti anonimi
Settore MED/09 - MEDICINA INTERNA
Settore MED/31 - OTORINOLARINGOIATRIA
Settore MED/28 - MALATTIE ODONTOSTOMATOLOGICHE
English
Idiopathic environmental intolerance; Multiple chemical sensitivity; Sensitization; Sensory processing; Humans; Multiple Chemical Sensitivity; Perceptual Disorders; Personality
Viziano, A., Micarelli, A., Pasquantonio, G., Della Morte, D., Alessandrini, M. (2018). Perspectives on multisensory perception disruption in idiopathic environmental intolerance: a systematic review. INTERNATIONAL ARCHIVES OF OCCUPATIONAL AND ENVIRONMENTAL HEALTH, 91(8), 923-935 [10.1007/s00420-018-1346-z].
Viziano, A; Micarelli, A; Pasquantonio, G; Della Morte, D; Alessandrini, M
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2108/234640
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