Symptoms of mold-illness PDF Print E-mail

"A statistically significant increase was seen in the frequency of symptoms among women compared with men; and ... the most frequently reported symptoms were neurological (i.e., headache, memory difficulty, slurred speech, spaciness, lightheadedness, dizziness, weakness, coordination problems, and changes in vision), state of well-being (excessive fatigue, bloating, rash, discomfort, and muscle spasms), and ophthalmic and upper/lower respiratory (nasal symptoms, sinus discomfort, coughing, watery eyes, throat discomfort, weak voice, chest tightness, and wheezing)." (Gray et al, 2003)

 Click here: Mixed mold mycotoxicosis: immunological changes in humans following exposure in water-damaged buildings   (Gray, et al)

 

 

see page 9 on that article, Table 1

 

 

 
Symptoms, in Mold-Exposed Patients vs. Controls

 


 

                                 Mold-

 

                                exposed

 

                                patients      Controls

 

                               (n = 209)      (n = 28)

 


 

Symptom *                       x     SD      x     SD       p

 


 

Excessive fatigue              5.8    1.9    4.3    2.1    0.0001

 

Headache                       5.2    1.9    4.1    2.0    0.005

 

Nasal symptoms                 5.1    2.2    4.1    2.0    0.02

 

Memory problems                5.1    2.1    3.3    1.6    0.0002

 

"Spaciness"/disorientation     4.8    2.3    3.2    1.8    0.0007

 

Sinus discomfort               4.7    2.2    3.6    1.8    0.01

 

Coughing                       4.6    2.2    3.2    1.6    0.001

 

Watery eyes                    4.6    2.1    3.4    1.7    0.004

 

Throat discomfort              4.5    2.1    3.4    1.7    0.008

 

Slurred speech                 4.5    2.3    3.1    2.0    0.002

 

Lightheadedness                4.4    2.2    3.2    1.4    0.006

 

Joint discomfort               4.4    2.3    3.7    2.1      NS

 

Dizziness                      4.3    2.1    3.1    1.4    0.005

 

Weakness                       4.2    2.3    3.0    1.7    0.008

 

Bloating                       4.2    2.2    3.2    1.6    0.02

 

Insomnia                       4.1    2.2    3.8    2.0      NS

 

Weak voice                     4.1    2.2    2.8    1.4    0.003

 

Spasms                         4.0    2.2    3.8    2.1      NS

 

Coordination problems          4.0    2.2    2.9    1.4    0.01

 

Vision changes                 3.9    2.3    2.9    1.4    0.02

 

Rash                           3.9    2.2    2.9    1.7    0.02

 

Numbness                       3.9    2.2    3.4    1.7      NS

 

Cold intolerance               3.9    2.4    3.1    1.8      NS

 

Heat intolerance               3.8    2.4    3.6    2.0      NS

 

Chest tightness                3.8    2.2    2.6    1.3    0.006

 

Chest discomfort               3.7    2.2    3.0    1.3      NS

 

Frequent urination             3.7    2.3    3.8    2.1      NS

 

Excessive thirst               3.6    2.3    3.4    2.0      NS

 

Ringing ears                   3.6    2.2    4.4    2.4      NS

 

Wheezing                       3.6    2.0    2.6    1.3    0.02

 

Swallowing problems            3.2    2.0    3.0    1.7      NS

 

Skin flushing                  3.1    2.1    2.8    1.6      NS

 

Bladder control problems       3.1    2.0    2.8    1.4      NS

 

Rapid pulse                    3.0    2.0    2.6    0.9      NS

 

Palpitations                   2.8    1.9    2.4    0.8      NS

 

Bruising                       2.8    1.7    2.4    0.9      NS

 

Swelling ankles                2.7    1.8    2.6    1.5      NS

 

Hearing changes                2.7    1.8    2.6    1.5      NS

 


 

Symptom *                      p females

 


 

Excessive fatigue                 0.001

 

Headache                        < 0.006

 

Nasal symptoms

 

Memory problems                   0.005

 

"Spaciness"/disorientation      < 0.01

 

Sinus discomfort

 

Coughing

 

Watery eyes

 

Throat discomfort

 

Slurred speech                  < 0.02

 

Lightheadedness                   0.01

 

Joint discomfort

 

Dizziness

 

Weakness

 

Bloating

 

Insomnia

 

Weak voice                        0.02

 

Spasms                            0.04

 

Coordination problems             0.009

 

Vision changes                    0.008

 

Rash                              0.02

 

Numbness

 

Cold intolerance                  0.002

 

Heat intolerance                  0.003

 

Chest tightness

 

Chest discomfort                  0.02

 

Frequent urination

 

Excessive thirst                  0.01

 

Ringing ears

 

Wheezing

 

Swallowing problems               0.008

 

Skin flushing                     0.04

 

Bladder control problems

 

Rapid pulse                       0.04

 

Palpitations                      0.003

 

Bruising                          0.003

 

Swelling ankles                   0.02

 

Hearing changes

 


 

Notes: x = mean, SD = standard deviation, and NS = not significant.

 


 

* Symptoms were compared for females vs. males.

 


 

Table 2.--Lymphocyte Phenotypes Observed in Males vs. Females, and in

 

Combined Sexes (All Patients)

 


 

                                                                  %

 

                                                 Expected     variation

 

                                                   range        from

 

Cell type                      Designation       (95% CI)     expected

 


 

B                              CD20+               5, 15        > 15

 

IL-2 receptor bearing T        CD5+CD25+           0, 8          > 8

 

Activated T                    CD3+CD26+           0, 30        > 30

 

                               CD3+HLA-DR+         0, 7          > 7

 

Activated and suppressor       CD8+CD38+           0, 8          > 8

 

                               CD8+HLA-DR+         0, 3          > 3

 

Complement-receptor-bearing

 

  suppressor                   CD8+CD11b+          5, 45         < 5

 

Natural killer                 CD3-CD16+CD56+      5, 20         < 5

 

Phytohemagglutinin             PHA                96, 195       < 96

 

Concanavalin A                 Con A              94, 354       < 94

 


 

                                         All patients *

 

                                            (n = 206)

 


 

                                                                %

 

Cell type                        x             SD            abnormal

 


 

B                               17.9     6.1                   75.6

 

IL-2 receptor bearing T          9.2     4.7                   68.9

 

Activated T                     45.9    11.8                   91.2

 

                                11.8     5.9                   95.1

 

Activated and suppressor        15.4     6                     56.6

 

                                 4.7     5                     62

 

Complement-receptor-bearing

 

  suppressor                     5.7     3.7 ([dagger])        15.6

 

Natural killer                   7.6    11                     38.5

 

Phytohemagglutinin             104      23.5                   26.2

 

                                        ([double dagger])

 

Concanavalin A                 108      27.2                    5.9

 

                                        ([double dagger])

 


 

                                            Males

 

                                           (n = 83)

 


 

                                                             %

 

Cell type                        x            SD          abnormal

 


 

B                               18.1     6.9                75.6

 

IL-2 receptor bearing T          8.9     4.7                70.7

 

Activated T                     44.0    12.2                91.5

 

                                11.9     7.5                92.7

 

Activated and suppressor        15.6     6.4                54.9

 

                                 5.2     6.4                61.0

 

Complement-receptor-bearing

 

  suppressor                     6.3     4 ([section])      18.3

 

Natural killer                   9.8    16.1                48.8

 

Phytohemagglutinin             104.0    21.4 (#)            25

 

Concanavalin A                 108.0    23.9 (#)             6.3

 


 

                                        Females

 

                                        (n = 123)

 


 

                                                      %

 

Cell type                        x        SD       abnormal

 


 

B                               17.7     5.5         75.6

 

IL-2 receptor bearing T          9.4     4.7         67.5

 

Activated T                     47      11.3         91.0

 

                                11.7     4.5         96.7

 

Activated and suppressor        15.3     5.8         57.8

 

                                 4.4     3.7         63.6

 

Complement-receptor-bearing

 

  suppressor                     5.3     3.5 **      13.1

 

Natural killer                   6.1     3           31.7

 

Phytohemagglutinin             104      25 **        27

 

Concanavalin A                 108      29.2 **       5.7

 


 

Notes: CI = confidence interval, z = mean, and SD = standard deviation.

 

 Not all tests were performed on all individuals, as noted.

 


 

* t and z tests of males and females revealed no significant

 

differences; therefore, the 2 sexes were combined to form All Patients.

 


 

([dagger]) n = 204.

 


 

([double dagger]) n = 202.

 


 

([section]) n = 82.

 


 

(#) n = 80.

 


 

** n = 123.

 


 

Table 3.--Percentage of Individuals with Antibody Titers > 1:4 against

 

Central Nervous System (CNS) Myelin and Peripheral Nervous System (PNS)

 

Myelin for Each Isotype, in Mold-Exposed Patients vs. Controls

 


 

                    CNS myelin antibodies

 


 

                    IgG            IgM

 


 

Subject          n       %       n      %

 


 

All patients    199     67.3    201    43.3

 

Controls *       32     12.5     32     12.5

 

  Odds ratio       14.40           5.34

 

  95% CI         4.85, 42.9      1.8, 15.8

 


 

                 CNS myelin     PNS myelin

 

                 antibodies     antibodies

 


 

                    IgA             IgG

 


 

Subject          n       %       n      %

 


 

All patients    201     55.7    201    61.7

 

Controls *       32     12.5     32    12.5

 

  Odds ratio       10.59           14.40

 

  95% CI         3,58, 31.3      4.86, 42.87

 


 

                   PNS myelin antibodies

 


 

                    IgM            IgA

 


 

Subject          n      %       n       %

 


 

All patients    201    45.8    201     60.2

 

Controls *       32    12.5     32     6.25

 

  Odds ratio       5.39           19.10

 

  95% CI        1.82, 15.93    4.44, 82.6

 


 

Notes: Ig = immunoglobulin, and CI = confidence interval.

 


 

* The percentage of controls that exceeded 1:4 had antimyelin titers

 

of 1:8.

 


 

Table 4.--Percentage of Individuals with Abnormally High

 

Titers to Neurofilament Antigen, in Mold-Exposed Patients

 

vs. Controls

 


 

                                    % abnormal

 


 

Subject                 IgG            IgM               IgA

 


 

Patients (n = 93)       6.45          31.6              36.2

 

Controls (n = 100)      0.0            2.0               2.1

 

  Odds ratio          Infinity        22.615            27.767

 

  95% CI                          5.224, 99.900     6.437, 119.784

 


 

Notes: Ig = immunoglobulin, and CI = confidence interval.

 


 

Table 5.--Odds Ratios (ORs) and 95% Confidence

 

Intervals (CIs) for Antinuclear Autoantibodies (ANA) and

 

Autoantibodies against Smooth Muscle (ASM)

 


 

Autoantibody      OR        95% CI

 


 

ANA             11.00     2.56, 46.50

 

ASM              2.58     1.26, 6.26

 


 

Note: Autoantibodies for males and females were combined

 

and compared with combined controls A and B.

 

 

 

 

 
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