Eosinophilia
Myalgia Syndrome
(EMS; diagnostic
code 710.5) is a
systemic, immune
mediated disease
that originally
surfaced in the
United States as an
epidemic in 1989.
EMS resulted from
ingestion of an
amino acid, L-Tryptophan,
a popular health
food supplement at
the time. The FDA
recalled
the supplement in
March 1990.
Often, EMS is highly
debilitating and can
cause permanent
damage. Because
there is no cure and
the prognosis is
unknown, EMS is
treated
symptomatically.
During the acute
phase, EMS is
characterized by
flu-like symptoms,
intense muscle pain
with spasms and
contractures,
burning rashes,
breathing
difficulties and
elevated eosinophil
(a type of white
blood cell) count.
Later the disease
attacks many areas
of the body in a
random manner and
with varying degrees
of severity from
patient to patient.
Systems injured
often include the
neuromuscular,
cardiopulmonary,
gastrointestinal,
dermatologic and
endocrine systems
among others. Since
patients are treated
symptomatically,
physicians employ
individualized
treatment regimens.
Various experts
estimate that 5,000
- 10,000 people have
EMS within the
United States. Other
evidence suggests
that new cases
continue to occur
through unknown
means.