InfirmaryThe L.E. cell is recognized as a neutrophil polymorphonuclear leucocyte whose nuclear lobes are compressed to the periphery of the cell by the inclusion of homogenous material which stains a reddish purple with the usual blood stains. There is much evidence in favour of the inclusion material being nuclear in origin. Occasionally cells are found in which an ingested cell can still be recognized; these cells are " tart" cells and must not be confused with L.E. cells, in which the ingested material has lost all its nuclear structure.The production of L. Snapper and Nathan (1955a, 1955b) have devised a more practical method which requires only one drop of blood from an S.L.E. patient, and it is based on the recognition that three essential factors are involved in L.E. cell formation: (1) plasma or serum from an S.L.E. patient; (2) nucleoprotein from nuclei of damaged cells, which form the " substrate"; and (3) active phagocytic polymorphonuclears. They recommend that the substrate be prepared from a drop of normal blood incubated for an hour in a moist-chamber at 370 C. The blood clot which forms is removed, and it is then found that large numbers of leucocytes, particularly polymorphonuclears, are left on the air-dried slide. The