Abstract. Following diagnosis of scrapie in a clinically suspect Suffolk sheep, 7 clinically normal flockmates were purchased by the Pennsylvania Department of Agriculture to determine their scrapie status using an immunohistochemical procedure. Two of the 7 euthanized healthy sheep had positive immunohistochemical staining of the prion protein of scrapie (PrP-Sc) in their brains, nictitating membranes, and tonsils. The PrP-Sc was localized in the areas of the brain where, histopathologically, there was neurodegeneration and astrocytosis. The PrP-Sc occurred within germinal centers of the affected nictitating membranes and tonsils and was located in the cytoplasm of the dendrite-like cells, lymphoid cells, and macrophages. These results confirm that immunohistochemical examination of the nictitating membrane can be used as a screen for the presence of scrapie infection in clinically normal sheep at a capable veterinary diagnostic laboratory. In sheep with a PrP-Sc-positive nictitating membrane, the diagnosis of scrapie should be confirmed by histopathology and immunohistochemical examination of the brain following necropsy. Following full validation, immunohistochemistry assays for detection of PrP-Sc in nictitating membrane lymphoid tissues can improve the effectiveness of the scrapie control and eradication program by allowing diagnosis of the disease in sheep before the appearance of clinical signs.Scrapie is the prototype of a heterogenous group of transmissible spongiform ecnephalopathies that occur in sheep, humans, cattle, cats, mink, and cervids and are characterized by the deposition of altered prion proteins in the central nervous system of affected individuals. 11 Scrapie in sheep has become a target of control measures and eradication programs. Crucial for the effectiveness of these measures is the detection of infected sheep. After infection, the disease has a particularly long incubation period during which the infected sheep may be able to transmit the disease to noninfected sheep. 3 Scrapie infectivity has been detected in the lymphoreticular system of sheep well before symptoms occur. 4,8,9 Detection of scrapie prion protein (PrP-Sc) in nictitating membrane or tonsil has been proposed as a diagnostic test for scrapie infection. 5,11,13 In this study at the Pennsylvania Veterinary Laboratory (PVL), an immunohistochemical procedure was applied to detection of PrP-Sc in clinically normal euthanized Suffolk sheep.A farm had 10 sheep in a flock that had been in existence since October 1991. A 7-year-old ewe from the farm was submitted to the PVL for necropsy on April 15, 1998. The ewe had shown signs of pruritis for a few months and had recently developed neurologic signs, including staggering, stumbling, and falling. The ewe was diagnosed as having scrapie by routine histopathology conducted at PVL and immunohistochemistry (IHC) of brain tissue conducted at the National Veterinary Services Laboratory (Ames, IA). On August 11, 1998, the Pennsylvania Department of Agriculture purchased the last 7 shee...