Medical Hypotheses
Volume 56, Issue 6 , Pages 697-701 , June 2001

The problem of Gulf War syndrome

  • R. Ferrari

      Affiliations

    • Edmonton, Alberta, Canada
  • ,
  • A.S. Russell

      Affiliations

    • Department of Rheumatic Diseases, University of Alberta, Edmonton, Alberta, Canada

Received 7 July 2000 ,Accepted 7 July 2000.

References 

    REFERENCES
  1. Haley RW, Kurt TL, Hom J. Is there a Gulf War Syndrome? Searching for syndromes by factor analysis of symptoms. JAMA. 1997;277:215–222
  2. JAMA. 1997;277:238–245
  3. Kroenke K, Koslowe P, Roy M. Symptoms in 18, 495 Persian Gulf War veterans. JOEM. 1998;40:520–528
  4. Fukuda K, Nisenbaum R, Stewart G, Thompson WW, Robin L, Washko RM. Chronic multisystem illness affecting air force veterans of the Gulf War. JAMA. 1998;280:981–988
  5. Proctor SP, Heeren T, White RF, Wolfe J, Borgos MS, Davis JD. Health status of Persian Gulf veterans: Self-reported symptoms, environmental exposures and the effect of stress. Int J Epidem. 1998;27:1000–1010
  6. Escalante A, Fischbach M. Musculoskeletal manifestations, pain, and quality of life in Persian Gulf war veterans referred for rheumatologic evaluation. J Rheumatol. 1998;25:2228–2235
  7. Coker WJ, Bhatt BM, Blatchley NF, Graham JT. Clinical findings for the first 1000 Gulf War veterans in the Ministry of Defense’s medical assessment programme. BMJ. 1999;318:290–294
  8. Ismail K, Everitt B, Blatchley NF, Hull L, Unwin C, David A. Is There a Gulf War syndrome?. Lancet. 1999;353:179–182
  9. Unwin C, Blatchley NF, Coker C, Ferry W, Ferry S, Hotopf M. Health of UK servicemen who served in Persian Gulf War. Lancet. 1999;353:169–178
  10. Kipen HM, Hallman W, Kang H, Fiedler N. Prevalence of chronic fatigue and chemical sensitivities in Gulf registry veterans. Arch Environ Health. 1999;54:313–318
  11. Ishøy T, Suadicani P, Guldager B, Appleyard M, Ole Hein H. State of health after deployment in the Persian Gulf. Dan Med Bull. 1999;46:416–419
  12. Ishøy T, Suadicani P, Guldager B, Appleyard M, Gyntelberg F. Risk factors for gastrointestinal symptoms. Dan Med Bull. 1999;46:420–423
  13. Suadicani P, Ishøy T, Guldager B, Appleyard M, Gyntelberg F. Determinants of long-term neuropsychological symptoms. Dan Med Bull. 1999;46:423–427
  14. Gray GC, Smith TC, Kang HK, Knoke JD. Are Gulf War veterans suffering war-related illnesses? Federal and civilian hospitalizations examined, June 1991 to December 1994. Am J Epidemiol. 2000;151:63–71
  15. Gray GC, Hawksworth AW, Smith TO. Gulf War veterans’ health registries. Who is most likely to seek evaluation?. Am J Epidemiol. 1998;148:343–349
  16. Kroenke K, Price RK. Symptoms in the community. Arch Intern Med. 1993;153:2474–2480
  17. Hyams KC. Developing case definitions for symptom-based conditions: The problem of specificity. Epidemiol Review. 1998;20:148–156
  18. Simon G, Gater R, Kisely S, Piccinelli M. Somatic symptoms of distress: An international primary care study. Psychosom Med. 1996;58:481–488
  19. Verbrugge LM, Ascione FJ. Exploring the iceberg. Common symptoms and how people care for them. Med Care. 1987;25:539–569
  20. Landrigan PJ. Illness in Gulf War veterans. Causes and consequences. JAMA. 1997;277:259–261
  21. Gray GO, Smith TO, Knoke JD, Heller JM. The postwar hospitalization experience of Gulf War veterans possibly exposed to chemical munitions destruction at Khamisiyah, Iraq. Am J Epidemiol. 1999;150:532–540
  22. Barksy A, Goodson JD, Lane RS, Cleary PD. The amplification of somatic symptoms. Psychosom Med. 1988;50:510–519
  23. Barsky AJ. Amplification, somatization, and the somatoform disorders. Psychosom. 1992;33:28–34
  24. Barsky AJ, Borus JF. Functional somatic syndromes. Ann Intern Med. 1999;130:910–921
  25. Das AK, Davanzo LD, Poiani GL, Zazzali PG, Scardella AT, Warnock ML. Variable extrathoracic airflow obstruction and chronic laryngotracheitis in Gulf War veterans. Chest. 1997;115:97–101
  26. Environmental Protection Agency. Kuwait oil fires: Interagency interim report. Washington (DC), Environmental Protection Agency, 1991
  27. Simons M. British study disputes lengthy climatic role for Kuwait oil fires. New York Times C4,. 1991;
  28. Klaustermeyer WB, Kraske GK, Lee KG, Kurohara ML. Allergic and immunologic profile of symptomatic Persian Gulf War veterans. Ann Allergy Asthma Immunol. 1998;80:269–273
  29. Southern PM, Patel S, Hander RM. Does examination of urinary sediment identify individuals with Gulf War syndrome? A pilot study. Am J Med Sci. 1998;315:225–229
  30. Knoke JD, Gray GC, Garland FC. Testicular cancer and Persian Gulf war syndrome. Epidemiol. 1998;9:648–653
  31. Haley RW, Kurt TL. Self-reported exposure to neurotoxic chemical combinations in the Gulf War. A cross-sectional epidemiologic study. JAMA. 1997;277:231–237
  32. Jamal GA, Hansen S, Apartopoulous F, Peden A. The ‘Gulf War Syndrome’. Is there evidence of dysfunction in the nervous system?. J Neurol Neurosurg Psychiatry. 1996;60:449–451
  33. Amato AA, McVey A, Cha C, Matthews EC, Jackson CE, Kleingunther R. Evaluation of neuromuscular symptoms in veterans of the Persian Gulf war. Neurology. 1997;48:4–12
  34. Sillanpaa, M. C. Agar, L. M. Milner, I. B. Podany, E. C. Axelrod, B. N. Brown, G. 1997, Gulf War veterans: A neuropsychological examination. J Clin Exper Neuropsych, 1997, 19, 211, 219
  35. Hyams KC, Wignall FS, Roswell R. War syndromes and their evaluation: From the U.S.civil war to the Persian Gulf war. Ann Intern Med. 1996;125:398–405

PII: S0306-9877(01)91311-8

doi: 10.1054/mehy.2001.1311

Medical Hypotheses
Volume 56, Issue 6 , Pages 697-701 , June 2001