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a database of the National Library of M

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dysrhythmias. Ventricular fibrillation may be a cause<strong>of</strong> sudden death.0.2.6 RESPIRATORY0.2.6.1 ACUTE EXPOSUREA) Various pulmonary abnormalities have occurred includingdyspnea, asthma and pneumoconiosis.B) A chronic interstitial pulmonary change is thought tobe caused by vinyl chloride monomer; this change isdistinct from a pneumoconiosis.0.2.7 NEUROLOGIC0.2.7.1 ACUTE EXPOSUREA) VCM may cause CNS depression characterized by fatigue,headache, vertigo, ataxia, euphoria, visualdisturbances, numbness and tingling in <strong>the</strong> extremities,narcosis, loss <strong>of</strong> consciousness, and death fromrespiratory failure.0.2.8 GASTROINTESTINAL0.2.8.1 ACUTE EXPOSUREA) Nausea, vomiting, diarrhea, and severe epigastric paincan result from ingestion <strong>of</strong> <strong>the</strong> liquid.0.2.9 HEPATIC0.2.9.1 ACUTE EXPOSUREA) In chronic/subacute exposures, <strong>the</strong> target organ is <strong>the</strong>liver. Direct hepatotoxicity, hepatomegaly, and hepaticcancers, including angiosarcoma, have been reported.B) Portal hypertension can result from liver injury.0.2.10 GENITOURINARY0.2.10.1 ACUTE EXPOSUREA) Decreased libido and sperm count have occurredfollowing chronic exposures in men.0.2.13 HEMATOLOGIC0.2.13.1 ACUTE EXPOSUREA) Thrombocytopenia, porphyrinuria, and capillaryabnormalities have also been reported.0.2.14 DERMATOLOGIC0.2.14.1 ACUTE EXPOSUREA) Scleroderma, frostbite, irritation and cyanosis havebeen reported. Vinyl chloride may be absorbed through<strong>the</strong> skin.B) Contact dermatitis has been associated with VCM or itsplasticizers or additives.0.2.15 MUSCULOSKELETAL0.2.15.1 ACUTE EXPOSUREA) Acro-osteolysis, arthralgias, and cold extremities havebeen reported in workers exposed to VCM.0.2.20 REPRODUCTIVE HAZARDSA) Fetotoxicity and congenital malformations have been seenin animals. Human birth defects have not beensubstantiated.0.2.21 CARCINOGENICITY0.2.21.1 IARC CATEGORYA) IARC Carcinogenicity Ratings for CAS75-01-4 (IARC,2004):1) IARC Classificationa) Listed as: Vinyl chlorideb) Carcinogen Rating: 11) The agent (mixture) is carcinogenic to humans. The

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