Yusho
Accident, 1968 - Japan
In
June, 1968 patients appeared at the Dermatology clinic of Kyusthu University Hospital,
Fukuoka, Japan suffering from chloracne. After few clinical, chemical and epidemiological
investigations, it was found that the disease originated from the consumption
of a batch of rice oil supplied in February, 1968; the disease was called Yusho
(rice oil disease). This rice oil was found contaminated with Kanechlor 400, a
48% chlorinated biphenyl, at 2000-3000 mg/kg, which entered the oil through a
leak in the heat exchanger. Chlorinated dibenzofurans at 5 mg/kg were found in
three samples of toxic rice oil that contained PCB levels of about 1000 mg/kg
(Nagayama et.al., 1976).
The earliest symptoms of PCB's exposure were
enlargement and hyper-secretion of the Meibonian glands of the eyes, swelling
of the eyelids and pigmentation of the nails and mucous membranes, occasionally
associated with fatigue, nausea and vomiting. This was followed by hyperkeratosis
and darkening of the skin with follicular enlargement and acneform eruptions.
These skin changes were most often seen on the neck and upper chest, but in severe
cases, extended to the whole body.
Biopsy skin samples showed hyperkeratos
i.e. dilation of the follicles, and an accumulation of melanin in the basal cells
of the epidermis; melanin granules have also been observed in biopsy samples of
the conjunctiva, oedema of the arms and legs was also observed in some patients.
The majority of the patients were found to have respiratory symptoms and suffered
from chronic bronchitis like disturbance, that persisted for several years.
Yusho patients did not appear to suffer from central nervous effects, but
some complained of numbness of the arms and legs. Nuco-cutaneous signs had decreased
year-by-year, but neurological signs, respiratory signs and symptoms and various
complaints, as general fatigue, anorexia, abdominal pain and headache, had become
more prominent among the patients.