Sera of 189 patients with rheumatoid arthritis and 512 patients with variants of rheumatoid arthritis, osteoarthritis, gout, and other diseases were subjected to a battery of serologic procedures. With no apparent loss of specificity, the test employing a modified hydrochloric acid method of euglobulin fractionation produced a significantly greater frequency of positive reactions in patients with rheumatoid artbritis.Seros ab 129 patientes con arthritis rheumatoidee e ab 512 patientes con variantes de arthritis rheumatoidee, osteoarthritis, gutta, e altere morbos esseva subjicite a un batteria de manowas serologic. Sin ulle apparente perdita de specificitate, le test empleante un modification del methodo a acido hydrochloric in le fractionation de euglobulina produceva un significativemente plus alte frequentia de reactiones positive in patientes con arthritis rheumatoidee.GGLUTINATING activity of sera from patients with rheumatoid ar-A thritis studied by Cecil et al.' (1931), Waaler2 (1940), and Rose et ( 1948) initiated the discovery and characterization of the rheumatoid factor. During the last decade, studies on rheumatoid factor have probed not only its fundamental nature and significance but also its application as a diagnostic aid. Modification of rheumatoid tests have simplified and shortened the procedure. Among the host of developments in technique, some of diagnostic benefit include use of human gamma-globulin as the r e a~t a n t ,~ polystyrene latex5 or Bentonite as carrier particles," and employment of euglobulin' or gamma-globulin fractions of tested sera.* The inhibition method introduced by Ziff et al. elevates sensitivity of the sheep hemagglutination procedure,i but it is too laborious for prevalent clinical usage. Adopting the latex fixation system,5 Hall et a1.9 devised a modified inhibition test for detection of F-I1 agglutinating factors. Although simpler to perform than the test of Ziff and his co-workers,7 Hall's method retains a 48-hour dialysis period in the preparation of euglobulin. By application of a hydrochloric acid euglobulin fractionation procedure,'s the authors1" shortened this step to 1% hours. The subject of this report is clinical evaluation of a modified Hall test.1°
METHODSFollowing blood collection, all sera were stored 2 to 5 days at -5 C. ' Results of only the first serum samples on a given patient are recorded here. The F-Il sheep cell (F-I1 S.From the Arthritis Section of the. Vepartment