“…Thus we are almost certain that dimethylformamide (or dimethylformamide in synergism with some other agent or agents) was the causative agent of the orig inal epidemic of toxic liver disease. This possibility is further supported by preexisting evidence in the literature of dimethylformamide hepatotoxicity in both humans and animals (14). Therefore, we recommend that this chemical, with its extensive use and significant skin absorption, be monitored closely in the future, especially since recent investigations suggest that, in addition to its hepatotoxic effects, dimethylformamide may also be a testicular carcinogen in humans (15,16).…”