“…However, in all assays with the antigens as solid-phase which detect IgM antibodies by anti-human IgM immunoglobulins, IgM-class rheumatoid factor (RF) is potentially capable of causing a falsely positive IgM result. This has been demonstrated in indirect immunoassays and IF tests for the detection of antibodies to Treponema pallidum (9), Toxoplasma gondii (1,6,11,12) and the following viruses: rubella (5,8,13,14), cytomegalo- (13,15), measles (14,16), Epstein-Barr (4), influenza (13), herpes simplex (14,15,16) and mumps (14). For the RF interference the following mechanism is supposed: Antigen-specific IgG first attaches to the solid-phase bound antigen, IgM-RF reacts with the altered Fc fragment of the bound IgG antibodies and the labelled antibodies to human IgM recognize the RF molecules (13,15,16).…”