Item ID Number 01654

Author

Corporate Author

Roport/Artldo TltlO Table: Fat Biopsy Study Cases

Journal/Book Title

Yoar 000°

Month/Day

Color ^

Numberoflnian.es 10

DOSCPlptOn NOtOS Lists Place-mode-duration of exposure; dates &symptoms/diagnosis; occupation/subsequent toxinexposure; and family symptoms. Names of studyparticipants are not provided.

Wednesday, June 06, 2001 Page 1655 of 1688

F A T B I O P S Y

[ Placc-Moda-DurationName and Age SQC. SQC. 4 Dates

Exposure

1 (ii) Air Force-Cam Kahh Bay^ i Oct. 1967 - 13 days.JA. **M ' Headquarters personnel

-fl-in.! o dQfjnitivc exposureknown

6 (H) Marine-Da Nang and-£~ Phipul 1966-1968

Field and foxhole machine^ t gunner in rice paddles

$' * Drank from local lakes5\ No protective gear onl- maneuvers. Claims mild

direct exposure skincontact & ingest icm

3 (H) Chu Lai- Army. Cutting' ~T~ trails 4 setting camps

* - in Jungle-after spraying'/'*-> 2-3 days exposure-mild"Y j direct early 1970-^— • akin contact*

9 (H) Landing zone Song Be NayNov. 1969. Drove watertruck from lake to L Z,Agents orange & whitestored In the area-he

0 drank & ato from lakewater & feels water wascontaminated. Army-was

1 in vehicle entire timeof exposure* Ingefltlon-oild-prolonged

i

Dates & Symptomn/Olagnosis

Aatrocytoma-craniotomy10/7/76-Asymptomatic 1979"kidney condition" unknowndiagnosis

Fragment wound scars face,arm and thumb. Acoustic neur-oma-occipital craniotomy2/16/79, Thyroid nodule4/18/79. Total thyroidectomy& re implant parathyroidLeft orbital headaches 1&1/2years.

Chronic ulcer, It. index fin-gar, 2-3 mths. after break-ing beer bottle in handFebruary 1979

Fever & fatigue, 16 yearsDiffuse numbness and tlngllnfof extremities, musclefatlgability claimed 8/9/78not mentioned on 12/1/69.Had workup for claim of"rhinitis" & "back conditioi"Sex & psychiatric problems"

Clinical Laboratory -

Ilematol-

Livar-

Kenal-

tlematol-

Chest x-ray-

Liver-

Renal-

Hc ma col-

-Chest x-ray- ?

Liver- :

Renal- |

Hematol- |

Liver--

Renal-

1 ElectromyogramNerve conduction studiwMuscle enzymesNeurologic consultation

j

~

I

I

$

\\

J1

•i

!

Consultations

I•

.

No mycsthenlc patter

End point nystagmus,bilateral

OccupittionSubsequent ToxinExposure

X-ray Rx. f> CliemRx. , po <;Lcraniotomy 1976

Chlorine-workedfor city In wel]

pks. cig/da-1'tyr

RadiationTonsils 195015 pks,/yrs.cigarettes

Constructionworker-no toxicexposure

Non-smoker

FamilySymptoms andDfttiirftc (Wfi'i. : ' •••

t None

None

None

Single

s

MilitaryRecord Data

Record

gO

5;i

!

1 ' A T B I O P S Y

Placo-Mode-DurationSpec. S Name and Age Soc, Sec. J? Dates

Exposure

10 (H) Army-helicopter crewMany exposures handlingbulk chemical & sprayingfrom helicopter in north-

^M ern I campana May 69-7- ,,.. May 1970. Severe, direct/ <\ ', • repeated prolonged exposui

• [_/' agents orange, blue.No protective gear. Ateand .-drank from contaminateutensils. Skin contact,inhalation , Inges t ion .

11 (11' Army helicopter door gun-ner and sprayer, &herbicide loader SocTranq

,"*" & Rach Glo 9-12 hr. Dir.^ — . .exposure every 4-5 days.(jy Prolonged, severe contact

and inhalation & Ingestioi9 months, 1968-69.

12 (H Plieky Ankhy-Army1 7 months 19 68- combat medi

•j, In sprayed fields-direct<\ ' mild repeated exposuref kp) to sprayed area.

13 (H Army-Camp Hallowayperimeter of demilitarizezone. 30 contactexposures to aircraft

0 spraying as perimetersupervisor. Drank waterfrom Dong Ho river in

, Contlo after^spraying of

Dates & Symptoms/Diagnosis

Back pain-"pinchcd nerve"1 month abd. pain & mildepigastric tenderness on PIPlantar wart, rt. foot

e

d

Chest pain, shortness ofbreath for 2 yrs. Urinaryfrequency and nocturia 2 yrsClaims infertility

Occasional transient butter-fly rash over face afteralcohol or anxiety-frequentbefore Vietnam duty.Papular rash, malarprominences & forehead

1978 It. mastectomyfor fjynecoraastla , 200experiences, swollen eyelidsand conjunctivitis.Nervous with hand tremor"past several years"

Plantar warts. Tingling

fingers i toes.

,Clinical Laboratory -'

llema col-

Liver

Renal- ' j

. Upper GI - Normal

llcmatoi-

Llvcr-

Renal-

Spcrm Count

Pul. function & lung

Hematol-

Liver-

Renal-

Dermntolocy-

Hematol-

Liver- -

Renal-

S T U D Y C A S E S

' •• Consultations

--

Alexion Bros. Hospitalscan Elkgrovu, 111.

"*"

OccupationSubsequent ToxinExposure

Student

None

12/p:ick yearnsmoking

Student &constructionworker

Technical equip-ment company •>representative

.

TP4 exposureduring militaryduty3/4 pk, elR./dayseveral yearsHeroin & Mcthodoi3 yrs up to 4yrs ago.

FamilySymptoms and•Pcsirea biH-viw*1 *

Grandfatherdied of cancer

Wife miscarried!§ 3-4 months2 1/2 yrs. ago

Uncle died ofcancer, 7 site@ 65 yrs.

Father- 2coronary attack:Mother-highblood pressure

None

c

MilitaryRecord Unta

Armytf5/.829192Vietnam 8/26/610/28/69. MiHtipoliceman & dotgunner.Dec. 68-May 69Record NameJames J. Uenc

Army0347420607Vietnam 1/26/71to 8/30/7Q/Medicalspecialist

Record

O

o1c.-ff.

ryr

nsfcl '

j1j Spec. 1\

14 (11)

t>J'

(0vv

Name and Age Soc, Soc. Jf

IS (11)

Place-Mode- DurationDates

Exposure

Army scout plune pilot-helicopter. Flew throughspray on 4 occasions.Plane & men showed vlslbltmoisture precipitatedfrom spray I & III corpsareas 1968-69.

.',

Army- 10 exposures. Handj sprayer use on baseperimeter CUCHI-flold

J 1 month. Ate S drank In*j' i rice paddles. Direct^\ • ' contact, respiratory,V,/ Ingestlon. Vietnam

April 66-April 70.

16 (H) Army-Base repeatedlysprayed Dong Ha. Nov.1967-68. Worked unpro-tected in sprayed areas -direct contact repeatedly

0

11

Possible Ingestlon viaeating utensils & waterDunker guard at base.

Dates & Symptoms/Diagnosis

Sarcoldosis mcdiastlnal nodeRt. inguinal hernia. Historyof renal stones 1975-Fatigueand sick 3- Smooths. Pneumonl2 years ago. Diarrhea 3 mthsSaid to have had small

Spleen palpable & liverslightly tender. People work-ing with him also had dlarrhevomiting. Aching pain inhumb.lt. shoulder & upperrm. (shoulder injury aseenager) Bright stool, blooiweeks.

Rash on legs & diarrhea inVietnam. "Jungle rot" of toe-naila & groin skin.

"Breakdown". Allergic toraerthiolate. Darvon & cobaccLeg swelling Tphlebitls withmuscle blopsy-Unlv. Chicago.Diag, by private MD-Rx forschizophrenia and auditoryhallucinations.

Problems with feet withoperation contract ure, leftgreat toe. Foot trauma &pain, rt. 2nd metatarsal-cellulitis foot. Dermatophy-tosls, bllat. since 1969."Cyst in lung operated 20years ago.

_

Clinical Laboratory -

Ilcmatol-

Liver-KRenal-

Ilamatol-

Liver-

Renal-

Dermatology ConsultFungus cultures

Orthopedic consult

Dermatology consult -

Chest x-ray - Rt. Apex

1!

. .. . .1

Consultations

Dcrmatophytosls

densities consistentwith abdominalInflammatory diseaseMultiple healed ribfractures.

Occupation

Subsequent ToxinExposure

Lawn fertilizerPhotographic &

fa rm chemicals10 & 1/2 pack/

yrs. cigaretteConstructionworker

"Cleaning agents

Machine repair-man for Cater-pillar Tractor1-2 packs/dayfor 18 yrs.

"Heavy alcoholintake"

PipefitterNo exposuretoxins

FamilySymptoms andDiagnoses

None

Wife miscarriedonce between19&9-75.

Son born 1971with congenitalheart problemsSurgeryrecommended

MilitaryRecord Data

Array^ 3160029Vietnam 5/6/68

4/29/69.Helicopter pil1st squadron,9th cavalry,1st air cavalrdlv. , 1stbattalion40th artillery108 artillerygroup.

Record

t CO

§'..>

jXj•<

I1

i

f

*f*i

r

Spec. 1

19 0.)

24 (WS)

,Vi)

Placa-Modo-DurationName and Ago Soc. Sec. J Dates

Exposure

' Air Force-mixing & loadlnchemicals on aircraftand base maintenance usein hand sprayer-directFrequent contact. Bein HoMay 6 8- July 69. Clothesoft on soaked, 12-14 hrsper day. DDT-24D&24TEvening showers & cloth inchange only protectivemoves .

Army-spraying & drankfrom contaminated streamsNo protective moves

^

25 (WS). Army-Field Installationstelephones In sprayedareas. Defoliants fell

7, on shoulders & head, Hard' Oct. 1969. Camp Evans

ff" T) Also insecticide sprayVjx contact.

.

'Dates & Symptoms/Diagnosis

Painful edema of feet andlower extremities, increasingrecently-varicose veins .bllat

History of It. inguinal hcrnlHemorrhoids* Leg wound inVletnam-now occasional knee& leg swelling with exercise.Low back pain. Liverpalpable 1 en. below RCM

Patchy dry areas of skin.back & shoulders, come & gosince 9/13/79. Cholecystitis-cholacystectomy, July 79.Hypertension, fatty liver.Arthritis, Lt. knee-pastinjury. Peptic ulcerhistory-no symptoms.Hypertension ISO/100.

• .-Clinical Laboratory —

Hematol- ;

Liver-

Renal- "

•||

1

.\

|.

1llematol-

Llver-Bx. -Portal flbroala .Billrubln 0.6(Alb. 4.3) Ca 9.3SCOT 30 LVA 141Cholesterol 90.0

Renal-Uric acid S.2

Upper Gl-conault-lack atgastric antltw

f

Dermatology- Tinea •>. .'

11

i

;

Consultations

• ..--......• -•-';_•;••;---..-' JV--.1

6 marked fatty chang. total prot. 7.2Phos 3.6 AlkPhos 121Great ininc 1.2

v distcnslbillty

veroicolar scalp.

f

OccupationSubsequent ToxinExposure

None

Tailorsmoking 1/2 PPD15 yrs.6 pack beer/dayHeroin use to3 years ngo

Auto mechanicSmokes 1 PP dny

:. Raised on farm iMisfiissippl-prcnrray. (exposed tinsecticides.)

FamilySymptoms andDiagnoses

None

Mother & Fatherhave heart dx.

None

MilitaryRecord Data

Air ForceJ17199136Vietnam 8/31/67/5/67 and8/3/68-10/3/69Pavementmaintenancesupervisor.

Army054823966Vietnam 7/29/614/1/69.

Wounded 3/13/6!Infantryman,

Army953411750Claims 125349240

No recordsat NPRC

Record

i—

I

ex.

-

!•' A T U i 0 1J

Spec, i

26 (MS)

,/ f \'j

27 (L)

,(,H

\^C^}vy

28 (L) •

.

»*'/ /. yV.--

Name and Age Soc. Sec. JPlace-Mod e-Dur a t ion

DatesExposure

Air Force-Chief herbicideunit-dally direct repeatecontact. respiratory & skit"swam In it" 1 yr. 1968Agents Orange, White, blutNo protective gear oraction.

r

Army-Pleklu Aug67-Aug60open field duty in areassprayed- 1 spraying causedactual contact. Noprotective action-oftenin open jeep. Bathed inbomb craters & riversafter spraying.

Array-Cam Rahn BaySaigon & Dalat & conveyduty central highlandsIn open vehicles passingthrough areas. Processedquantities & ate some.fruit 6 vegetables fromsprayed areas. Nospecific exposures , noprotection. June70-March 71

Dates & Symptoms/Diagnosis

Crampy abd. pnin-Amonthsallergy to fish and 1VP dye.Rectal itch, 1 year.Occasional generalized skin2-3 lite since 1968. itch

6 weeks post exposuretingling & swelling hands &feet-stiffness fingers & toetInsomnia, now Raynauds react-ion hands 6 toes & weaknessof extremities with hand andtoe ache-bilateral limp

Presently asymptomaticMo PE abnormalities

Clinical Laboratory -

llcmatol- I

Cheat x-ray- j

Liver- jI

Renal- |

Dermatology consult- f

. . 1Heraatol- I

1Chest x-ray- |rjI11

Hematol- i

Chest x-ray- I

Liver function- t"" •:|Li•,1^

Consultations

"Puritis Ani" un-related to Agent Ora

OccupationSubsequent ToxinExposure

Artist

ige

1/2 packcigarettes/day

NoneVA administrateclerk

FamilySymptoms andD Innnosps

None

None

Mother-braini tumor-1950

Single

MilitaryRecord Data

Vietnam7/12/67-7/7/68Bien lloa AirBase

Air Forcemechanic with12th AirCombatsquadron.

Record

W0&'",>

''*u.•*?

•

:Spec. 0 Name and Age Soc, Sec. jf

29 (WS)

Place-Mode-DurationDates

Exposure

iArmy-Can Rahn Bay &environs several times.Walked through recentlysprayed jungle. Ate localvegetables (fresh) 1967-68No definite directexposure. Lived with

f} Vietnamese on localeconomy. No protective

; action.

30 OJS)

' s~<<£>\

\

34 <NS)

1

Army-1969,1970, Sprayed bjplanes 2-3xweek overextensive period-ate &drank contaminated water-food. Clothes & skincontaminated often. LongBinhport III Corps-Truckoperator for 1st STBATCOMsignal brigade.

Army-Vietnam, Jan67-Nov67Dong Taung & Long BenAir mobile infantry-open

n Cox holea. Field S.J • helicopters in sprayed

areas-no protection.Contact, inhalation &ingest Ion r direct &

'Dates & Symptoms/Diagnosis

Amcbic dysentery & pleurisyfor 2 months in Vietnam.Cramping abd. pains 1976? poly cystic kidney-hyper-tension. Weak in am, drop pintools, etc. Duodenitis- supra-pubic and perlmbllical painintermittently for severalyear. BP 150/100. llemocrholwith constipation.

Nervousness. Intermittent skirash over arms began Vietnamcough & asthma-s.am at24th evacuation hospitalHuachula-Vietnaa. Nowexpiratory rhonchi & historyof asthma.

Chest pain, chronic anxietystomach pain, flushing offace, multiple lipomaa allover body, shortness ofbreath (occasional) ,intermittiblurred vision with anxiety,"water blisters skin undereyea," heart palpitations.Hyp.er tension 140/ 84 *

Clinical Laboratory -

Hematol-

Llvar-creatlnlne 1.3

I Renal-CA ISO, Uric acid 33

Neurology-No abnormality

IsDer ma to logy-No abnormality

Urology-No abnormality

Nephrology-No abnormality

Gastrointestinal-gas tro- 'deformed duodenal bulb

i Ilematol-

I

'.

t

_

S T U D Y C A S E S

Consultations

i

Phosphate 720

Porphyrin

Polycystic kidney

not confirmed

flcopy-edcmatous &

'

Occupation

Subsequent Toxin

Exposure

Carpenter - None

Tankloader In

oil refinery &

local fire dept.

Benzine & Tolucr

Carpentur-No

chemical expos ui

Family

Symptoms and

D InKnoaes

"Familial

anxiety"

None listed

3

S

Military

Record DataRecord

C0

§

"*

. ' • ' F A T D I O P E V

Spec. I

5 (H)

o .

7 (H)

'©

17 (L)

J1-

(9

18 0.)

0

20 0.)

ill

'19

Placa-Hode-DurationName, and Age Soc, Sec. J Dates

Exposure

No exposure defoliants.

Air Force-No exposure defoliants*

Army- Black forest nearPlelku-Vietnam. Deniesexposure. Worked In fieli18 days as heavy equip,operator-caught between2 Jeeps, - pelvic fx.

No exposure defoliants

Army-9/14/47-7/27/51No exposure defoliants

1 1 .

Dates & Symptoms /Diagnosis

Rt. Ing. herniaHernlorrhaphyBiopsy abd. wall fat 4/13/79

Adcnocarclnoma of rectumAbdonlno-perlneal resectionA/19/79

Epigastric hernia, acucolumbar atraln. 100Z SC forJfsacral, pubic & iliac fx. InVietnam. Varicoaitlcs.Epigastric herniorrhaphy& fat biopsy 6/20/79.

Several operations fin bladdcas result of pelvic fracture.

Rt. ureteral lithiasia &hypertension - stoneextraction ur etc ro lithotomyAbd. wall fat biopsy 6/15/79.

Lt. uretorolithlasls. Ch.disc syndrome. Back pain,diarrhea, vomiting, dysuriahematurla. Hist, gout 12 yraago. Hypertension. Slidinghlatal hernia. Esophagitis.7/6/79 ureterollthntntnv & ab<

Clinical Laboratory -

llematol-Hbg. 14.6, llct. 43

Chest x-ray-Normal

Renel-BUN 11, Urine 5 to '

EKG-Normal

Spern Count-last done 1973

Hematol-Nonnal

Liver-

Renal x-ray-Rt. hydro-hematurla

llematol-Hbg. 15, llct. 44.6

Llver-

Renal-hematurla,

C 0 K T 1! u L C A S t S

Consultations

,

*•- ".*

H'BC 9,600

110 WBC

i

"!

' nephrosls

WBC 13,400

proteinufla

OccupationSubsequent ToxinExposure

Unemployed

Unemployed 4 yrsFederal officeemployee beforethen.

FamilySymptoms andDlngnnuon

Grandfatherdied ofcirrhosis ofliver.

MilitaryRecord Dnta

Service f16725294Mo recordavailable.

C19310293Air Force Svc,8/29/51-8/15/5:Service serial19245470No Vietnam svc

16981053Vietnam 10/7/612/19/67;Machine operate299 engincerlnibattalion.Retired todisability3/21/69.

14156247WWII serviceDeceased4/9/69 7

C16409483

Record

1

r

F A T fl I 0 P S Y

Spec. It Name and Age SQC, Sec. SPlace-Mode-Duration

Dates.Exposure

Dates & Symptoms/Diagnosis Clinical Laboratory -

22 (NS)

O

23 (WS)

0

31 (US)

•vU'

Navy-3/18/54-1/17/58Ho exposure defoliants

Non-functioning, rt. kidney(multlcystic) hypertension

Heiaatol-iibg. 17.3gr.,

Chest x-ray-Normal

Liver-creatlnliie 1.7

Renal-5,000 colonies Ecol

No exposure defoliants.

Amy-duty entirely atFt. Polk,LA. 8/68-10/71No Vietnam service.

Hiatus hernia with refluxesophagltis. Nissen fundo-plicatlon & abd. wall fatbiopsy 1966 & fistula 6/26/7Bronchial asthma now. Oldtrauma, rt. elbow with pain.Obesity

tlcmatol-llbg. 17.0, Ilcc.

Chest x-ray-Normal

Liver-

Renal-

Array-Not exposed-militaryduty In FrankfortGermany

Traumatic dislocation hipFusion of hip

Uematol-

Chest x-ray-

Li ver-

Renal-

C O N T R O L C A S E

Consultations

otherwise normal

calcium 7.4

50.1

OccupationSubsequent ToxinExposure

Foreman, meatcutting Co.Denies drugs &smoking. Noother exposuretoxins.

Sheet metalmachine operatorDenies chemicalexposure.

FamilySymptoms andDiagnoses

Hone

MilitaryRecord Data

C67144367Duty 8/29/68-7/28/71

Record

0.

t(X

F A T B I O P S Y

Spec. I | Name and Ago Socu Sac. Splace-Mode-Duration

DatesExposure

Dates 4 Symptoms/Dlacnosis Clinical Laboratory -••

32 (US)

33 (II)

U

'

Air Force 1963-79Marines 1954-59Korea, Thailand, Philll-plnes, Japan, Taiwan

No exposure defoliants.

Lt. ing- hernla-llornlorrhapliv]i oM. uall fat biopsy 8/27/7Ext. hemorrhoids. DermatitliIt. foot, arthritis 8/22/79Uerniorrhaphy 4 abd. wallfat biopsy.

Cholellthlnsls

Chest x-ray-normal

Liver-

Rcn.il-

Car«lio]or,y consult-

C O N T K 0 1 .

Consultations

i

Mo abnormality

Occupation

Subsequent ToxinExposure

"Chronic smoker1

11/2 pks/ilayfor years."occasional"alcohol.

Auto repair shopmanager.

family

Symptoms andD tagnoses

MilitaryRecord Dtttn

Lake Mead &Las Vegasduring nuclearteats, 1950 'e.

Record

<T»

&„-*i!

F A T B I O P S Y

Spec. 9

2 00

Kama and Age Soc. Sec. $

• fi * J

•9

'3 (U)

f 1T '

TI\2'

4 (U)

^vVp

./3\ Vv_/

,

Place-Mode-DurationDates

Exposure

1056 hrs documented.March 1973-77. Ecologicalstudies in field, plotsamples in field. TCDDdusting studies, sitemonitoring. Project PacerHo. Severe, direct,repeated, prolongedexposure plants solle,contaminated animals.Contact, inhalation,ingestlon, some protectivimasks, boots, coveralls.glovea-often impracticalto wear any. Worked onbiode gradation and sitecleanup 6 years. Neverchloracne.

6.608 hrs. documented1969-Aprll 1979(76Z ekln contact. 242inhalation) severe,direct, repeated, prolongiIn research where animalswere studied with TCDD. 'Exposed gloves & maskswere used.

1,046 hre. documented.1976-1978-alr, soil, &stream sampling, moving &cleaning cylinders & drunu6 days & nights aboardship during Incineration.1976— 138 hre.19J7 - 9.03 hrs. :1978 - 3 hrs.

Dates & Symptoms/Diagnosis

No symptoms, signs orabnromnllties except questionable scars. It. axilla1973 - 246 hr .1974 - 212 hr .1975 - 64 hr .1976' - 68 hr .1977 - 340 hr .1978 - 106 hr .1979 - to April 10th- 20 hrs.

"Bronchlectal problems"with congestion 2 yrs agowith lnfluenza~none since.Allergic to pencillin.d 1969-2,000 hrs 1974-390 hrs.1970-2,200 hra 1975-300 hra.1971- 510 hrs 1976-332 hrs.1972- 180 hre 1977-110 hrs.1973- 338 hrs 1978-211 hrs.1979-April - 37 hra.

Occasional pericrbltal acne.3 yrs* 3 moles, skin of groiipast 10 months- similar skin.of arm. Spastic colon, past10 years. 7 rheumatoidarthritis.

Clinical Laboratory -

Hematol-

Liver-

Renal-

Hematol-

Chest x- ray-

Live r-

Renal-

llematol-

Liver-

Renal-

F 0 It C t V O L U M T K E K S

ConsultationsOccupationSubsequent ToxinExpor.urc

Exposure to2-4-D & 2-/I-5Tas child f,rouln(up on farm &

ranch areas.Also chlordane,llndane,toxaphene.

Prior to activeduty, Ph.D.studies on effec2-4D & plcloran.On active dutyalso expand tomalathlon,duraban, chlorda& llndane.

10 pk/yr smoking14 oz. wine someevenings.

FamilySymptoms andD I senses

None known

Father diedcancer of lung

ie

Uncle diet! ofskin cancer.Brother diedcoronary at34 yrs.

MilitaryRecord Dntn

Lt. Col-USAFActive dutyResearch,occupational& environmentshealth.

Major-USAFActive dutyResearch,occupational& environment ahealth.

Major-USAFActive dutyResearch,occupational& environment ahealth.

Record

OH

3 'ci.

'