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METHYiL ETHYL KETONE 41-14<br />

axons in the peripheral <strong>and</strong> central nemous system, as well as severe<br />

potentiation of hexane neurotoxicity <strong>and</strong> shortened onset of<br />

morphological <strong>and</strong> clinical signs developed in animals exposed to the<br />

methyl ethyl ketone/hexane mixture. Motor impairment of the methyl<br />

ethyl ketone/hexane treated rats varied from a waddling gait <strong>and</strong><br />

eversion of hind limbs to quadriplegia. Methyl ethyl ketone alone did<br />

not produce neuropathy. Rats exposed to extremely high concentrations<br />

of pure methyl ethyl ketone (6000-10,000 ppm), however, developed<br />

severe bronchopneumonia <strong>and</strong> died.<br />

The potentiation effect of methyl ethyl ketone on hexane-induced<br />

neuropathy has also been observed with methyl butyl ketone (1029,103O).<br />

Hats intoxicated by continuous exposure to air containing methyl ethyl<br />

ketone <strong>and</strong> methyl butyl ketone vapor in a ratio of 1125:225 ppm<br />

developed clinical evidence of neuropathy after 25 days; rats inhaling<br />

225 ppm methyl butyl ketone alone exhibited neuropathy after 66 days.<br />

Methyl ethyl ketone potentiates the neurotoxic effects of methyl<br />

butyl ketone <strong>and</strong> hexane presumably by stimulating their metabolism to<br />

neurotoxic metabolites (1015). Both hexane <strong>and</strong> methyl butyl ketone<br />

share common products in their metabolic pathways, i.e., 2,5-hexanediol<br />

<strong>and</strong> 2,5-hexanedione. Hexanedione is believed to be the neurotoxic<br />

agent (1030,1014). Administration of hexane <strong>and</strong> methyl ethyl ketone<br />

together results in a significant increase in the activity of<br />

mixed-function oxygenase enzymes in rats (1004) <strong>and</strong> the urinary<br />

excretion of 2,S-hexanedione is increased after administration of the<br />

methyl ethyl ketone/methyl butyl ketone mixture to rats (1002).<br />

Furthermore, administration of 2,5-hexanedione produced effects<br />

indistinguishable from hexane or methyl butyl ketone neurotoxicity<br />

(1014).<br />

41.3.2 Human <strong>and</strong> Epidemiologic Studies<br />

41.3.2.1 Short-term Toxicologic Effects<br />

Berg & A. (1016) reported a case of retrobular neuritis in an<br />

U-year-old male exposed to methyl ethyl ketone while removing paint in<br />

an enclosed area. Symptoms included a dull headache, mild vertigo <strong>and</strong><br />

diminished vision in both eyes. Ophthalmic examination <strong>and</strong> testing 2<br />

hours later revealed marked enlargment of the blind spot <strong>and</strong> superior<br />

arcuate-type defects in both eyes. Blood analysis showed the presence<br />

of methanol <strong>and</strong> formaldehyde. Thirty-six hours after exposure, vision<br />

returned to normal. Berg postulated that the patient had suffered<br />

optic nerve toxicity induced by methanol formed from the metabolism of<br />

methyl ethyl ketone.<br />

Munies <strong>and</strong> Wurster (1031) demonstrated that methyl ethyl ketone in<br />

contact with the skin resulted in a partial dehydration of the Stratum<br />

corneum. Wehlberg (1009) showed that the spontaneoy transient<br />

whitening of the skin caused by excessive exposure to methyl ethyl<br />

ketone is due to a change in structure <strong>and</strong> the removal of the skin<br />

lipids rather than by vasoconstriction.<br />

S/87

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