Medical History of (), Employed by Philco Corporation

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Employed by: Phi Ico Corp. H I STORY: i s an electronics technician - trainee, employed by Phil co Corporation and was completing a course of instruction on the k lys tron at the Lockport Air Force Base. Exposure to the unshielded total time of exposure was between 30 and 45 minutes ata2to3foot headache o f an extremely severe type, which was moderately throbbing in character.Shortly thereafter, he became nauseated and vomited atleast six times during the afternoon and evening. He had no visual difficulty. The mouth became very dry during the afternoon, and by 2:OO P. M. a - marked facial erythema and slight swelling around the eyes was noted. Some reddening of the conjunctiva e and thick discharge from the eyes developed. He became completely exhausted and irritable. He phoned his family physician and was sent tablets for nausea and vomiting, which helped him considerably. The day after exposure, March 9, he awakened with nausea and vomited prior to breakfast.This time he continued to be fatigued but did go t o work. full meal. There was no diarrhea or abdominal pain at any time.Slight nausea persisted each morning prior to breakfast, Mouth continued to be dry, and as a result he had increased fluid in take. By that evening he was able to eat a OCCUPATIONAL HISTORY : He has worked with radar since 1958, both with k lys tron s and magnetrons of relatively low power. PAST MEDICAL HISTORY: Indicates good health with occasional mild frontal headaches. Earaches were present in childhood.

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FAMILY HISTORY: Completely negative. PHYSICAL EXAMINATION: Temperature 37", pulse 70, respiration 60, blood pressure 114/70. He was awell - developed and nourished individual in no distress.Definite neck and facial erythema were present.Slight injection of the conjunctiva e of both eyes was noted with considerable tearing during the examination. Ears were negative. Oral and nasal mucous membranes were moderately reddened and oral membranes dry and crusted.A small patch of whitish exudate was noted above the second molar on the left.Slight crusting of the lips was present. The tongue was dry in character with mucous shreds. Lungs and heart were negative. Abdomen was negative. Neck was negative.Genitalia were within normal limits.Neurological examination was negative. LABORATORY FINDINGS: Red count 4.87 M, hemoglobin 14 gm., he mato crit 46, observed sedimentation rate 26, white count 9950, segments 70.5, lymphocytes 20, monocytes 7, eosinophils 2, basophils 0.5, platelets field.Stool was negative. Blood Chemistry: BUN 13, sodium 141, potassium 4.8, chloride 101, carbon dioxide 24, fasting blood sugar 63, and total protein 6.3. X-ray of the chest negative. EKG, no diagnostic findings. Nose and Throat Culture : No pathogenic organisms. COURSE I N HOSPITAL: Negative dental and opthalmology consults were obtained. The dryness o f mouth continued for approximately two days. By March 15, the erythema had a most completely disappeared. On March 16, slight injection of pharynx was noted. By this time moderate lymphopenia had developed. On March 8,as light reddening of anterior wall

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of tonsil was noted. Possible erythema was present. On March 22, beginning hair loss was noted, together with faint recurrence of the reddening o f the skin. The alopecia progressed and by March 28, almost all hair from the top of the head was lost. On March 29, a sternal bone marrow was obtained for study and showed normal activity in erythroid, myeloid and megacaryocyte series. On April 4, bone marrow was aspirated from the iliac crest and reported within normal limits. By this time sufficient recovery in the leukocytes warranted discharge, and on the 8th of April he was discharged from the hospital to be followed as an out-patient. He was followed at weekly intervals, later extending to monthly intervals. A gradual regrowth of hair in normal fashion has occurred and strength At the time he was transferred to Philadelphia for job classification, he was completely asymptomatic. The sperm count carried out on March 29, 1960 was with n normal limits. He has s nce been reassigned to Huntsville, Alabama, where he is working as an electronic technician with low voltage apparatus.