MIGLIORINI, STEFAN0 BOMBARDIERI, ALBERT0 CASTELLANI, and GIOVAN BATTISTA FERRARA HLA antigens were studied in 36 patients with essential mixed cryoglobulinemia. The antigens that showed the largest percentage of deviations from the control group were DRw3 (40% versus 20%), DRw8 (32% versus 11.5%), and Cw6 (5.6% versus 20.7%). None of these changes, however, was significant when the P values were corrected for the number of specificities scored for each locus. These data indicate that essential mixed cryoglobulinemia is not strongly associated with any of the HLA antigens serologically determined, but there was a suggestion that certain manifestations, particularly renal involvement, are related to a specific haplotype.In 1966 Meltzer et a1 (1) described a group of patients in whom peculiar symptoms were associated with serum cryoglobulins containing rheumatoid factor activity, in the absence of other underlying disorders. In this condition, also known as essential mixed cryoglobulinemia (EMC) (2), cryoglobulins are generally considered to be antigen-antibody complexes. The disorder is regarded as a model of immune complex disease (3,4).In recent years, the discovery of the linkage in various animal species between the major histocompatibility system and the genes controlling the immune response (Ir genes) has stimulated the search for association in human beings between histocompatibility antigens (HLA) and disease. A growing number of immuFrom the Rheumatic Disease