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Handbook of Solvents - George Wypych - ChemTech - Ventech!

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1318 Tilman Hahn, Konrad Botzenhart, Fritz Schweinsberg<br />

tion <strong>of</strong> physiological and physicochemical parameters 18 or to assessing low exposures to<br />

complex chemical mixtures. 19<br />

20.1.2 TOXICOLOGY<br />

20.1.2.1 General effects<br />

General effects <strong>of</strong> solvents concern primarily acute exposures to high solvent<br />

concentrations. Despite some variations <strong>of</strong> symptoms, the resulting effects on the central<br />

nervous system (CNS) are rather stereotypical. 20<br />

Several solvents have depressant or narcotic effects, and hence, some solvents are<br />

used as anesthetics. 21 The main acute health hazards result from the narcotic effects. Their<br />

intensity is proportional to the solvent concentrations in brain tissue and is caused by the<br />

solvents themselves (physical and chemical interactions with neural membranes, nerve<br />

cells or neurotransmitters <strong>of</strong> the CNS).<br />

General CNS dysfunctions after solvent exposure, are initially euphoria and<br />

disinhibition, higher exposures result in pre-narcotic symptoms such as dizziness, euphoria,<br />

disorientation and confusion, nausea, headache, vomiting, ataxia, paresthesia, increased<br />

salivation and tachycardia. 22,23 The symptoms are rapidly reversible when the solvents are<br />

removed.<br />

In addition to the non-specific acute narcotic effects <strong>of</strong> solvents mentioned above, alterations<br />

<strong>of</strong> behavioral, cognitive and psychomotoric functions are typically found after<br />

short-term exposure to solvent levels close to the TLV. Overexposure leads to convulsions,<br />

coma and death. Typical changes are paresthesias, visual and auditory deficits, cognitive<br />

deficits (short-term and long-term memory loss), confusion, disorientation, affective deficits<br />

(nervousness, irritability, depression, apathy, compulsive behavior) and motor deficits<br />

(weakness in extremities, incoordination, fatigue, tremor). 24,25<br />

It is difficult to develop useful methods and models for testing these behavioral effects<br />

<strong>of</strong> solvents but for this purpose tests <strong>of</strong> attention and reaction, cognitive tests and other test<br />

systems are used. 26,27<br />

Acute CNS dysfunction diseases can show mild (organic affective syndrome), moderate<br />

or severe (acute toxic encephalopathy) symptoms. 28,29<br />

Unspecific irritations <strong>of</strong> skin and mucosa membrane structures can be caused by solvents.<br />

Various solvents are significant occupational irritants, e.g., solvents which cause irritant<br />

contact dermatitis. 30 Intact skin structures can be destroyed by solvents which dissolve<br />

grease and fat. Typically, the dermatitis is characterized by dryness, scaling and fissuring<br />

and is usually located on the hands. It is <strong>of</strong>ten caused by handling solvent-contaminated<br />

products or by cleaning procedures. 31,32<br />

Unspecific irritation <strong>of</strong> mucous membranes is <strong>of</strong>ten caused by solvent vapors, e.g., irritation<br />

<strong>of</strong> the eyes and various sections <strong>of</strong> the airways.<br />

20.1.2.2 Specific non-immunological effects<br />

Table 20.1.2 summarizes the main specific effects <strong>of</strong> solvents: 33-47<br />

• Hepatotoxicity<br />

• Nephrotoxicity<br />

• Reproductive toxicity<br />

• Hemopoietic toxicity<br />

• Neurotoxicity<br />

• Ocular toxicity

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