Prevalence of symptoms and symptom-based conditions among Gulf War veterans: Current status of research findings

Prevalence of symptoms and symptom-based conditions among Gulf War veterans: Current status of research findings
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DOI:
10.1093/epirev/mxf003
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发表时间:
2002-01-01
影响因子:
5.5
通讯作者:
Reeves, WC
Reeves, WC
中科院分区:
医学3区
文献类型:
--
作者:
Barrett, DH;Gray, GC;Reeves, WC

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1991年3月海湾战争结束后不久,媒体开始报道退伍军人正在经历各种医学上无法解释的症状,包括疲劳,头痛,疼痛和认知障碍。1992年1月,媒体报道了在印第安纳州的第123陆军预备役部队成员中爆发的不明原因的症状。很快,其他退伍军人报告了类似的症状,公众对“神秘疾病”或“海湾战争综合征”的关注增加。随后对预备役部队的调查没有发现爆发独特疾病的证据(1)。虽然在一些海湾战争退伍军人中已经确定了明确的疾病(例如,12例亲内脏性利什曼病)(2),但海湾战争退伍军人的健康投诉中有很大一部分涉及非特异性症状,这些症状不容易在医学上解释。
BACKGROUNDShortly after the end of the Gulf War in March 1991, media reports began to emerge that veterans were experiencing a variety of medically unexplained symptoms, including fatigue, headache, aches and pains, and cognitive disturbances. In January 1992, the press reported an “outbreak” of unexplained symptoms among members of the 123rd Army Reserve Unit in Indiana. Soon, other veterans reported similar symptoms, and public concern grew regarding a “mystery illness” or “Gulf War syndrome.” Subsequent investigation of the reserve unit found no evidence for an outbreak of a unique disease (1). Although, well-defined diseases have been identified among some Gulf War veterans (eg, 12 cases of viscerotropic leishmaniasis)(2), a substantial proportion of Gulf War veterans’ health complaints involves nonspecific symptoms, which are not readily explained medically.