Objective-The aim was to study whether functional impairment of the pituitary, thyroid, testes, and adrenal glands of humans occupationally exposed to mercury (Hg) vapour can be shown as a result of accumulation of Hg in these glands. Methods-Basal concentrations of thyrotrophin (TSH), prolactin, free thyroxine (free T4), free 3,5,3'-triiodothyronine (free T3), antibodies against thyroperoxidase, and testosterone in serum, as well as cortisol in morning urine were measured in 41 chloralkali workers exposed ( or on serum free thyroid hormone or testosterone concentrations.57 In one of the studies,5 however, there was a positive correlation between urinary Hg excretion and basal prolactin concentrations.Animal studies have shown that treatment with inorganic Hg inhibited enzymes involved in the biosynthesis of iodothyronines, resulting in decreased concentrations of serum thyroxine (T4). Mercurials may also affect the deiodination of T4 to 3,5,3'-triiodothyronine (T3).8 9 In animals, changes in morphology and function of the adrenals and testes have also been reported.'0-0' Subjects and methods We examined, simultaneously in age matched pairs, 41 male chloralkali workers exposed to mercury vapour and 41 occupationally unexposed deferents from the same company. Table 1 shows their ages and duration of Hg exposure. Typical air-Hg concentrations at ordinary work were 20-50 ug/m3, but during maintenance the values were higher.'2 There were 18 smokers in the exposed group and 20 among the referents. Alcohol consumption was moderate, and there was no difference between exposed subjects and referents.
EXPOSURE ASSESSMENTVenous blood samples were obtained between 9 00 am and 2 00 pm in metal free heparinised Venoject tubes. Morning urine samples were collected in Hg free polyethylene bottles. After separation of plasma, the samples were stored at -25°C. Mercury in whole blood, plasma, and urine was analysed by cold vapour atomic absorption spectrophotometry.'3 14 Lack of precision (coefficient of variation (CV)