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KMID : 0338420080230010001
The Korean Journal of Internal Medicine
2008 Volume.23 No. 1 p.1 ~ p.4
Clinical Observation of 12 Farmers Who Believe Themselves to Have Suffered from Chronic Pesticide Intoxication
Hong Zoong-Rock

Hong So-Young
Han Mi-Jung
Lee Hae-seung
Gil Hyo-Ook
Yang Jong-Oh
Lee Eun-Young
Hong Se-Yong
Abstract
Background/Aims:We assessed twelve cases of suspected chronic pesticide intoxication, with medically unexplained physical symptoms.

Methods:Complete blood cell count (CBC), blood chemistry, routine urinalysis, chest X-ray, ECG, gastrofiberscopy, abdominal ultrasonography, neuroselective sensory nerve conduction threshold, and psychological assessment were performed on 12 farmers who believe themselves to have suffered from chronic pesticide intoxication.

Results:No specific abnormalities were observed on CBC, routine urinalysis, chest X-ray, ECG, gastroscopy, abdominal ultrasonography, or peripheral nerve conduction velocity test. They persistently manifested helplessness, depression, and anxiety. The results of both psychological assessment and general physical examination revealed the following clinical features: depression (8 cases), multiple chemical hypersensitivity syndrome (2 cases), alcoholism (1 case), and religious preoccupation (1 case).

Conclusion:In those living in the western rural area of South Korea, depression is a prominent ongoing presentation in pesticide-exposed farmers, in addition to unexplainable physical symptoms.
KEYWORD
Medically unexplained physical symptoms, Depression, Chronic pesticide intoxication, Farmers
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