http://respiratorycare.medscape.com/reuters/prof/2000/06/06.01/20000601publ0
01.html

Al Eskan Disease May Have Contributed to Gulf War Syndrome
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WESTPORT, Jun 01 (Reuters Health) - Gulf War syndrome may in part be the
result of Al Eskan disease, an immune system disorder caused by inhalation
of the fine, dusty sand common in the Arabian Peninsula, according to a
report in the May issue of Military Medicine.

Col. Andras L. Korenyi-Both, a flight surgeon for the 107th Cavalry, Army
National Guard, Havertown, Pennsylvania, and a multicenter team note that Al
Eskan disease, named for Al Eskan village near Riyadh, Saudi Arabia, was
first reported in 1991. It results in the type of multisystem disorders
associated with Gulf War syndrome.

The research team proposes that sand in the Gulf was both a cause of immune
system depletion and a vehicle for low-intensity exposure to chemical
warfare agents. When such agents were released by the destruction of
ammunition stockpiles and by the Iraqi military, they speculate, they were
"microimpregnated" into sand particles, wind-blown throughout the region and
inhaled by troops.

Once in the lungs, the "dirty sand" damaged the alveoli, causing immune
defenses to be compromised. The chemical warfare agents were thus able to
"penetrate the alveolocapillary barrier, entering the bloodstream, to be
disseminated via the lymphatic and blood vessels."

Dr. Korenyi-Both and colleagues report that the military collected sand
samples in the Gulf to be analyzed for the presence of chemical warfare
agents, but the research team has been unable to obtain the results of that
analysis from the US Army.

Mil Med 2000;165:321-336.

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Robert F. Tatman
[EMAIL PROTECTED]
Jenkintown, PA, USA
"Y Gwir Yn Erbyn y Byd"--Y Bardd Cymraeg
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