THE Coombs antiglobdm test has gained wide acceptance in the demonstration of incomplete antibodies. A positive reaction has usually been interpreted to indicate the presence of iso-immune or auto-immune globulins. A positive Coombs test has been observed to develop following administration of phenylhydrazine (Muirhead, Groves and Bryan, 1954;Luginbuhl, 1957)~ in lead poisoning (Sutherland and Eisentraut, 1956) as well as in sensitization of red cells with metallic cations (Jandl and Simmons, 1957). The prompt appearance of the Coombs reaction in these circumstances suggested its dependence upon a non-immunologic mechanism.Sutherland and Eisentraut (1956) reported that, in lead poisoning, sampling from various levels of a column of sedimented erythrocytes demonstrated that the Coombs reaction was primarily confiied to the upper layers, which were rich in coarsely stippled cells and reticulocytes.Identification of reticulocytosis as a cause of a positive direct Coombs test was first reported by Sutherland, Eisentraut and McCall (1957) and similar observations have been noted