Certain metals, and many metal-based compounds, are inherently toxic,
and their presence in occupational and environmental settings raises a
ppropriate questions concerning human exposure. Contact of these mater
ials with the skin represents an important route of exposure, which is
not well characterized. The purpose of this review, therefore, is to
assemble the available, useful information pertinent to risk assessmen
t following dermal contact. Specifically, we summarize here: (1) data
relevant to the qualitative and (where possible) quantitative evaluati
on of metal compound permeation through the skin; (2) the role of each
metal in metabolism, particularly with respect to the skin, and the p
otentially toxic effects that may result from dermal contact; and (3)
the immunological characteristics (including allergenicity) of the met
als and their derivatives. In total, information on 31 metals has been
reviewed. It is clear that many diverse factors determine the ability
of metal-based species to permeate biological membranes, not all of w
hich have been fully defined. Therefore, considerably more experimenta
tion, targeted at the development of high-quality transport data, will
be required before the specification of practically useful structure-
activity relationships are possible.