Aims-To examine the possibility that monocyte esterase deficiency (MED
) could be caused by exposure to organophosphates. Methods-Pseudocholi
nesterase, paraoxonase and arylesterase activities were measured in th
e serum and acetylcholinesterase activity was measured in the red cell
s of a group of monocyte esterase deficient subjects and compared with
the enzyme activities of a control group of monocyte esterase positiv
e subjects. Results-No significant difference was found between the en
zyme activities of the monocyte esterase deficient group and the contr
ol group for any of the esterases investigated. Conclusion-Current or
recent exposure to organophosphorus is not the cause of MED.