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Donald W. Black, MD
University of Iowa College of Medicine Iowa City

JAMA. 1991;265(18):2337.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

In Reply. —

I am delighted to have an opportunity to respond to comments by Drs Chester, Galland, McCampbell, McLellan, and Stewart and Mr Samuels about our work on persons with EI.

Dr Chester describes an interesting situation that occurred at a high school near Sacramento in which a number of people developed physical symptoms in the context of malfunctioning fresh-air intake and exhaust dampers. It is hard to know what these persons developed but, as Dr Chester points out, many of these persons may have actually developed a respiratory condition. However, a bona fide physical disorder should not be confused with EI. Later, Dr Chester incorrectly concludes that we identified fumes at home or work as the triggering event for many of our 26 subjects. These explanations were retrospective and may have had no causal link with the symptoms reported. In fact, we suspected that in many cases the . . . [Full Text PDF of this Article]

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