My
name is Faith Rumph, and Eosinophilia-Myalgia
Syndrome (EMS) has altered my life forever. I am
one of several thousand Americans who became ill from
ingesting contaminated over-the-counter L-tryptophan,
an amino acid dietary supplement. Many people were
advised by their physicians in the 1980s to use tryptophan
(L-T) for a variety of medical conditions, including
chronic pain, PMS, and sleep disorders.
I used it for sleep and for anxiety, but it did not
help me a lot with those difficulties; however, I learned
it rid me of the pain of occasional migraines and PMS,
so that was why I continued using the supplement. Little
did I know that the product was manufactured overseas,
shipped in bulk to America and put into pill form and
bottled here, and then sold under American companies'
nameswith no mention of the fact the raw product
originated in a foreign country. Bottles said tryptophan
was "pure" and "natural" and "safe."
Then disaster struck. (This is why I believe in labeling
of dietary products so that consumers can know the
country of origin, along with other information.)
On August 17, 1989, at age 39, I awoke with red, swollen,
burning thighs. In all my life I had never seen anything
like the painful symmetrical rash. For two and a half
years I would used L-T at the recommended dosage. To
me, using L-T was like taking a vitamin supplement.
It was a substance that I took and never imagined could
cause real harm, much less a brand-new and ongoing
chronic disease.
Over the next months I got worse with one diagnosis
after another, each becoming more serious, as I saw
one doctor after another. First, I was told I had hives.
The medicines did nothing for the burning red legs.
Soon, the rash began to spread downward and upward,
though looking less ominous overall for a short time.
I was told I might have eczema; however, the doctor,
a brilliant allergist, actually said this to me the
first time he saw my legs: "I have never seen
anything like this rash, and I do not know what it
is." That was late August 1989.
All these uncertainties took a terrible toll on my
husband and son, who was about 12 years old.
In September, I worried I might be contracting rheumatoid
arthritis when shooting electric-like pains coursed
through my hands, wrists, legs, stomach, and even my
head. As a highly trained pianist, I was terrified
I would lose the use of my hands. Though it was wrong
to do, I did not tell my doctors about these pains
right away because I could not bear to hear that I
might be getting a potentially crippling illness.
In October of 1989, a dermatologist told me I had
dermatitis, and told me to look for things at home
that might be causing the stinging, red rash that kept
spreading, tormenting me relentlessly, with a hot,
constant, burning pain. I also had a small white scar-like
spot on my right chest, and it began to grow bigger
and thicker until it covered the whole right side of
my chest and extended to the area near my armpit. At
that point, I could not lift either arm normally.
Pain and I coexisted daily as I grew weaker. Rising
from chairs and walking were hard to accomplish without
help. I coughed and experienced shortness of breath,
but I attributed these to "just" allergies.
Over time both legs became encrusted in a tough, thick
yellowish-brown covering that prevented hair from growing,
and I resembled a lizard, I thought. I lost about one
third of my scalp hair and all the fine hair on my
body. The body hair eventually grew back except for
my legs which only have sparse hair growth. My scalp
hair has never regained its original fullness.
The most frightening symptom to me was the muscle
spasms at night, sometimes occurring several times
a night, starting in my feet and moving up my legs.
They lasted 30 to 40 minutes and were accompanied by
nausea, sweating, and inability to move out of the
bed. My feet felt as if they were caught in a bear
trap, and it was the worst pain I would ever felt except
for natural childbirth. In addition, my jaws often
suddenly clamped shut when I was eating, and my teeth
grew loose. Sometimes stomach spasms tore through my
abdominal cavity, interfering with my breathing. A
hard ball moved up to my rib cage, held, then let go
and returned to the lower abdomen. When the ball reached
my rib cage, I felt as though I might suffocate.
All this time I continued to take tryptophan because
nobody, including myself, thought it was the cause
of the problems. I asked a doctor who diagnosed me
in October with polymyositis if
the tryptophan were okay to use. She answered, "This
is so safe you could probably take 100 pills at a time,
and it would not do anything to you." I went home,
still taking the contaminated L-T.
Finally, in early November of 1989, one of my doctors
called and told me I had scleroderma, based upon biopsies
of three areas of my body that he'd recently done.
He told me I would have to get every organ tested,
to see my main doctor on Monday of the next week, and
that the disease could be fatal. Just two weeks before
he'd still thought I had dermatitis.... I hung up the
phone and cried. The next day I called the scleroderma
organization.
A dizzying battery of tests began which went on until
a few days before Christmas 1989. I turned 40 in late
November. Every new day brought different symptoms
and more generalized pain and weakness. I thought I
was going to die, and I prepared to die. But on November
17th, we saw a newspaper article about a strange new
disease.
The disease had first been noted in New Mexico and
had been connected to usage of tryptophan. Eosinophilia
and myalgia were symptoms of the new disease, and I
had all the markers of it. I knew at once what was
happening to me and stopped using L-T that day. In
my hopefulness, I believed the disease would go away
completely in a month or two, like an allergic reaction.
Instead, EMS worsened after I stopped using the pills.
This was one of the cruelest aspects of EMS to me,
that not using the pills did not stop the symptoms.
In time, we all realized we had a novel disease and
that we likely would always have it.
The CDC, NIH, FDA, and Mayo Clinic all helped unravel
the connection between tainted L-T and EMS. However,
I do not think anyone at that time could have imagined
that many of us with EMS would still be sick in 2002
with the chronic phase of the disease. Our doctors
are often baffled by the many aspects of our puzzling
illness.
I'm lucky I did not have ascending paralysis like
some persons or pulmonary hypertension. But I went
on disability in 1997 and have the following problems,
among many others: tight skin on parts of my body (scleroderma-like
skin); muscle weakness and pain; dry mouth and eyes;
jaw and facial pain that is awful; inability to walk
or stand for more than ten minutes at a time; and various
secondary diseases to EMS, including Fibromyalgia.
EMS is a multi-systemic, chronic, novel disease, which
affects the immune system, caused by ingestion of contaminated
L-T associated with one foreign manufacturer. It has
ruined my hands so that I can't play the music I spent
a lifetime from age ten learning to perform. I use
a wheelchair in public much of the time, travel seldom
and with hardship, only attend a few social engagements
a year, and can't get to church more than a few times
annually.
But, I am grateful to be alive, and I have immersed
myself in the work of helping others with EMS. We need
research funds, for instance. I recently launched a
Web site, Eosinophilia-Myalgia.Net that
offers information, support, and ideas for advocacy.
I hope to see EMS included in some research projects
of similar diseases, such as Scleroderma, Fibromyalgia,
and Gulf War Illness.
I do not want Eosinophilia-Myalgia Syndrome to ever
be forgotten or to ever happen again due to a similar
tainted product. |