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Handbook of Solvents - George Wypych - ChemTech - Ventech!

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20.7 Hepatotoxicity 1389<br />

vents. It is highly likely that, in predisposed individuals, toluene can cause liver damage<br />

from chemical hepatitis to necrosis and fibrosis.<br />

20.7.8 DICHLOROMETHANE<br />

Dichloromethane also called dichloromethane, is a colorless liquid that has a mild sweet<br />

odor. It is used widely in the industry as a solvent and a paint stripper. It is commonly found<br />

in spray painting operations, automotive degreasing, in cleaners and in household products.<br />

Stewart et al. 63 showed no changes in liver enzymes in patients exposed for a period <strong>of</strong> 6<br />

weeks to levels <strong>of</strong> dichloromethane via inhalation from 50-500 ppm. On the other hand, Ott<br />

et al. 64 has shown an elevation in bilirubin in workers exposed to dichloromethane up to 475<br />

ppm. In experimental animals dichloromethane exposure has been associated with fatty<br />

changes <strong>of</strong> the liver and elevated liver enzymes. Norpoth et al. 65 have shown hepatic<br />

microsomal enzyme elevation at 500 ppm <strong>of</strong> dichloromethane exposure for 10 days, and<br />

others have shown significant fatty changes <strong>of</strong> the liver upon exposure <strong>of</strong> mice and rats for<br />

100 days to 75-100 ppm <strong>of</strong> trichloroethylene. 66,67,68 When exposure to dichloromethane continues<br />

for 2 years there was increased evidence <strong>of</strong> pathological changes and fatty liver<br />

changes. 69,70,71 The overall weight <strong>of</strong> the data supports a hepatotoxic effect <strong>of</strong> dichloromethane<br />

on the liver.<br />

20.7.9 STODDARD SOLVENT<br />

Stoddard solvent is a widely used organic solvent synthetically made, and comes from the<br />

refining <strong>of</strong> crude oil. It is a petroleum mixture made from distilled alkanes, cycloalkanes<br />

(naphthenes), and aromatic compounds. In addition, it goes by other names such as Varsol<br />

1, Texsolve S and others. It is commonly used as a paint thinner, as solvents in some types <strong>of</strong><br />

photocopier toners, printing ink, adhesives, dry cleaning and as a general cleaner and degreaser.<br />

Twelve men exposed to 610 mg per cubic meter <strong>of</strong> vaporized Stoddard solvents for<br />

a period <strong>of</strong> 6 hours revealed no changes in serum glucose, triglycerides, cholesterol or<br />

urate. 72 Dossing et al. 73 described painters who were exposed to non-specified levels <strong>of</strong><br />

Stoddard solvents and other chemicals for chronic periods, and elevated levels <strong>of</strong> serum<br />

alanine aminotransferase, but other functions were normal and normal liver biopsies. Flodin<br />

et al. 74 has studied a group <strong>of</strong> patients exposed to a variety <strong>of</strong> solvents, including Stoddard<br />

solvents and showed normal liver function tests, but an elevated gamma glutamyl<br />

transferase. Hane et al. 75 has shown that a group <strong>of</strong> painters exposed to Stoddard solvents<br />

had no significant abnormality <strong>of</strong> liver enzymes. Studies in experimental animals showed<br />

minimal fatty changes <strong>of</strong> the liver, Jenkins et al. 76 as did the studies by Carpenter and Phillips.<br />

77,78,79 The data from experimental animals and humans suggests a potential hepatotoxic<br />

effect <strong>of</strong> Stoddard solvents, but additional studies and a case by case evaluation is required.<br />

20.7.10 1,1,1-TRICHLOROETHANE<br />

1,1,1,-Trichloroethane is a colorless solvent which is manmade. It is produced by industry<br />

and is used in commercial products. It is used as a solvent, and is heavily used in glue and<br />

paint, as well as a degreaser and metal parts manufacturing. It is also used in some household<br />

products such as spot cleaners, glues and aerosol sprays. It is commonly found in soil<br />

and water as a contaminant. Brief single exposures to very high levels <strong>of</strong><br />

1,1,1-trichloroethane and a moderate high concentration have been shown to cause elevation<br />

<strong>of</strong> urobilinogen in patients. 80 This type <strong>of</strong> finding indicates reduced bile excretion and<br />

some intrinsic liver damage. Stewart et al. 81 showed in patients accidentally exposed to a<br />

high concentration <strong>of</strong> 1,1,1-trichloroethane increased levels <strong>of</strong> urinary urobilinogen for ap-

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