Since the ban of PCBs at the end of the 1970s, extensive measures have
been undertaken in Germany to dispose of PCB contaminated transformer
s. We report on three patients with considerable skin exposure to PCBs
, in particular to Clophen A 30, while repairing or dismounting transf
ormers. The periods of exposure range from 4 and 5 to 20 years. All pa
tients presented with distal- symmetrical sensorimotor polyneuropathy
as well as encephalopathy. In one of the cases, the neuropathy and enc
ephalopathy progressed for a period of over 8 years after termination
of exposure. In the two other cases the neurological deficits persiste
d over an observed period of 2-3 years. The reported clinical results
may suggest that the long half- life of Clophen and its accumulation i
n fatty tissue can lead to persistence of PNS and CNS impairment long
after the period of exposure. (C) 1996 Inter Press, Inc.