II. Pathophysiology

  1. Styrene monomer
    1. Aromatic industrial solvent used to manufacture polystyrene, resins and Rubber
    2. Colorless, volatile, oily liquid with sweet smell
  2. Exposures
    1. Occupational exposures and transportation spill accidents
    2. Exposure is primarily inhalational or dermal
  3. Toxicity
    1. Neurotoxicity
      1. Due to metabolite Styrene Oxide
      2. Dopamine depletion
    2. Hepatotoxicity
      1. Due to metabolite Styrene Oxide
    3. Skin Injury
      1. Skin irritation and dermal defatting

III. Pharmacokinetics

  1. Hepatic metabolism to Styrene Oxide (an epoxide)
  2. Half-Life: 8 to 9 hours in blood (days in fatty tissue)
  3. OSHA Legal Airborne permissible exposure limit: 100 ppm averaged over 8 hour work shift
  4. Neurotoxicity threshold >300 ppm
  5. Lethal threshold >2500 ppm

IV. Symptoms

  1. Skin and mucous membranes (including eyes)
    1. Irritation
  2. Gastrointestinal (large ingestion)
    1. Nausea and Vomiting
  3. Respiratory (inhalational injury)
    1. Bronchospasm
    2. Pulmonary Edema
  4. Neurologic (>300 ppm)
    1. Headache
    2. Ataxia
    3. CNS depression
    4. Autonomic Nervous System dysfunction
    5. Peripheral Neuropathy (Polyneuropathy)

V. Labs

  1. See Unknown Ingestion
  2. Comprehensive Metabolic Panel

VI. Imaging

VII. Management

  1. Decontamination
    1. See Decontamination After Toxin Exposure
    2. Remove contaminated clothing
    3. Wash skin with soap and water
    4. Activated Charcoal in recent ingestion
  2. Supportive Care
    1. Supplemental Oxygen as needed
    2. Bronchodilators as needed

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Ontology: Styrenes (C0038513)

Definition (MSH) Derivatives and polymers of styrene. They are used in the manufacturing of synthetic rubber, plastics, and resins. Some of the polymers form the skeletal structures for ion exchange resin beads.
Concepts Organic Chemical (T109)
MSH D013343
English Styrenes, Styrenes [Chemical/Ingredient]
Swedish Styrener
Czech styreny
Finnish Styreenit
Russian STIROLY, СТИРОЛЫ
Polish Styrenu pochodne
Norwegian Not Translated[Styrenes]
French Styrènes
German Styrole
Italian Stireni
Portuguese Estirenos
Spanish Estirenos

Ontology: styrene oxide (C0075351)

Definition (NCI) A synthetic, colorless liquid that is very soluble in water. Styrene oxide is used as a chemical intermediate in the production of styrene glycol and its derivatives, cosmetics, surface coatings and other chemicals (agricultural and biological). It is also used as a reactive diluent for epoxy resins and in cross-linked polyesters and polyurethanes. Humans in the general population may be exposed to styrene oxide by contact with contaminated air or water. It is reasonably anticipated to be a human carcinogen. (NCI05)
Concepts Organic Chemical (T109) , Hazardous or Poisonous Substance (T131)
MSH C013690
LNC LP34834-9, MTHU027471
English phenyloxirane, styrene 7,8-oxide, styrene oxide, Styrene Oxide, Styrene-7,8-oxide, Epoxystyrene, 1,2-Epoxyethylbenzene, 1-Phenyl-1,2-epoxyethane, 1-Phenyloxirane, Phenylethylene Oxide, Styrene-7,8-Oxide, Phenyloxirane