BackgroundThe toxicity of styrene on the peripheral nervous system is still debated. Cases The paper presents two cases of peripheral se~lsorirnotor neuropathy in styrene-exposed workers. Exposure, evaluated by biological monitoring, ranged between 100 and 150% of the current linlits proposed by the American Conference of Governme~ltal Industrial Hygienists (ACGIH). The subjects complained of leg weakness and numbness, cramps, and paresthesia. Electrophysiology revealed a moderate peripheral sensorimotor neuropathy of a deinyelinating type. Color-vision testing showed a subclinical deficit. Cornmon inherited and acquired causes of peripheral ~leuropathy and dyschromatopsia other than styrene were ruled out by personal history, medical examination, laboratory data, and chest X-ray. C O~C~U S~O~S The results suggest that long-term occupational exposure to e~lviro~lmental levels of styrene that are equal, or slightly above, the ACGIH limits can induce a clinical form of peripheral neuropathy and a subclinical impairment of color vision. As a consequence, a careful reappraisal of the real preventive meaning of the current ACGIH occupational limit for styrene, at least on an individual basis, is needed.