For a better understanding of the mechanistic details of the interacti
ons of organomercury compounds inside the skin, 32 subjects who previo
usly had given positive patch-test reactions to thimerosal (TH) and ne
gative reactions to thiosalicylic acid, were divided into 2 groups. 16
subjects were repatch tested to ethylmercury chloride (EtHgCl) and to
solutions containing EtHgCl mixed with L-cysteine and glutathione, re
spectively. The remaining 16 were repatch tested to EtHgCl and to solu
tions containing EtHgCl mixed with chlorides of Zn, Mg, and Mn, respec
tively. The results showed that whilst L-cysteine, glutathione and ZnC
l2 were able to abolish or to reduce the positive reactions to EtHgCl,
chlorides of Mg and Mn were unable to do so. Patch tests revealed tha
t in causing positive reactions to TH, EtHg probably interacted with t
hiol groups and with Zn ions, as in biological systems when causing to
xic effects. The limited number of TH reactions in the general populat
ion, the constant presence of concomitant positive reactions to EtHgCl
and MeHgCl, and the lack of cross-reactivity with other organic or in
organic mercury compounds, lead us to speculate that reactions to TH a
re due to organomercury alkyl compounds, and that positive subjects ha
ve a constitutively reduced capability to metabolize organomercury com
pounds, rather than to reveal previous exposure.