Multiple diagnostic laboratory tests are frequently used in the clinic
:al evaluation of parsons with multiple chemical sensitivity without a
clear a priori hypothesis. In addition, many of these rests are perfo
rmed despite a lack oi understanding of the test technical performance
characteristics or the clinical significance (test sensitivity and sp
ecificity). The result is a plethora of laboratory data that have litt
le clinical relevance and that can be both misleading and misused.