Thomas L. Kurt, MD, MPH; Timothy J. Sullivan III, MD
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To the Editor: Kahn and Letz's recent editorial (1) on clinical ecology noted that the American College of Physician's position paper and studies by Brodsky, Stewart, and Terr suggest that clinical ecology methods can lead to intense fear of injury from various chemicals or foods associated with increased symptoms or to withdrawal from normal human activities. Our independent medical assessments of significant numbers of clinical ecology patients strongly support this concept.
In addition to instructions for avoidance of exposure to chemicals deemed offensive, clinical ecology patients often are given ethanol injections or intravenous sodium bicarbonate to "neutralize" their reactions. Detoxification
Kurt TL, Sullivan TJ. Toxic Agoraphobia. Ann Intern Med. ;112:231–232. doi: 10.7326/0003-4819-112-3-231
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Published: Ann Intern Med. 1990;112(3):231-232.
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