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revised final - Agency for Toxic Substances and Disease Registry ...

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MERCURY<br />

2. HEALTH EFFECTS<br />

conversion of T4 to the active hormone T3. In this study, serum total testosterone (but not free<br />

testosterone) was positively correlated with cumulative mercury exposure, while prolactin, thyrotrophin,<br />

<strong>and</strong> urinary cortisol concentrations were not associated with exposure. However, two other occupational<br />

studies found no relationship between mercury exposure (unspecified concentration) <strong>and</strong> endocrine function<br />

(i.e., testicular, thyroid, <strong>and</strong> pituitary) (Erfurth et al. 1990; McGregor <strong>and</strong> Mason 1991). Biochemical<br />

indices that were measured in the occupational study by McGregor <strong>and</strong> Mason (1991) to assess endocrine<br />

effects included serum testosterone, sex-hormone binding globulin, thyroid-stimulating hormone, <strong>and</strong><br />

prolactin. Erfurth et al. (1990) measured both basal serum concentrations of thyrotropin, thyroxine,<br />

triiodothyronine, <strong>and</strong> cortisol, as well as the response to a thyrotropin challenge.<br />

No studies were located regarding endocrine effects in animals after inhalation exposure to metallic<br />

mercury.<br />

Organic Mercury. No studies were located regarding endocrine effects in humans or animals after<br />

inhalation exposure to organic mercury.<br />

Dermal Effects<br />

Metallic Mercury. Inhalation exposure of individuals to elemental mercury vapors <strong>for</strong> acute <strong>and</strong><br />

intermediate durations has resulted in erythematous <strong>and</strong> pruritic skin rashes (Aronow et al. 1990; Bluhm et<br />

al. 1992a; Foulds et al. 1987; Karpathios et al. 1991; Schwartz et al. 1992; Sexton et al. 1976). Other<br />

dermal reactions to mercury exposure include heavy perspiration (Aronow et al. 1990; Fagala <strong>and</strong> Wigg<br />

1992; Karpathios et al. 1991; Sexton et al. 1976) <strong>and</strong> reddened <strong>and</strong>/or peeling skin on the palms of the<br />

h<strong>and</strong>s <strong>and</strong> soles of the feet (Aronow et al. 1990; Fagala <strong>and</strong> Wigg 1992; Karpathios et al. 1991).<br />

No studies were located regarding dermal effects in animals after inhalation exposure to metallic mercury.<br />

Organic Mercury. No studies were located regarding dermal effects in humans or animals after inhalation<br />

exposure to organic mercury.<br />

54

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