Reactions against ACTH were rather commonly noted during the first decade of therapy with pituitary extracts of animal origin. Most of the allergic reactions then reported were probably the result of sensitization against the contaminating foreign proteins in the preparations rather than against the hormone character per se (22). Since the sixties, when highly purified corticotropine came into use, such reactions are less common. The immunological responses may range from fatal allergic shock to the mere occurrence of demonstrable IgE, IgG and IgM antibodies (i, 8, 9, 10, 16, 17, 23, 26, 29, 32).The naturally occurring ACTH molecule is composed of 39 amino acids. The sequence of the amino acids, 25-33, express the species-specific differences (20). The first synthetic ACTH-preparation produced (tetracosactid) is composed of 24 amino acids linked in the same sequence as the first 24 of the naturally occurring ACTH molecule. This preparation was therefore thought to involve hardly any risk of sensitization when administered to human subjects. However, reactions after treatment with synthetic ACTH-preparations have occasionally appeared hoth clinically and experimentally. At least two cases of fatal allergic shock induced hy tetracosactid have heen reported (i2, 32) and antibodies against it have