Table 1.

Environmental factors associated with SSc.

1 Silica, silicon, and silicones
  Silica dustGold and coal miners
Stone masons
Abrasive powder work
  Breast ImplantsSilicone
Paraffin
2 Inorganic compounds
  Aromatic hydrocarbonsToluene
Benzene
Xylene
Aromatic blends (diesel, etc.)
  Aliphatic hydrocarbons
    ChloratedVinyl chloride
Trichloroethylene
Perchloroethylene
Naphta-n-hexane
    Non chlorated
    Epoxy resins
    Biogenic amines
    Urea-formaldehyde foam
3 DrugsBleomycin
Carbidopa
L-5-hydroxytryptophan
Pentazocine
Cocaine
Appetite suppressants
Diethylpropion
Fenfluramine chlorohydrate
4 Rapeseed oil
5 L-tryptophan