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Clinical and biopsy findings in six patients (aged 29-64 years), suspected of having Wegener's granulomatosis, were not diagnostic. Cardinal signs were skin necroses, isolated deficits of cranial nerves, sudden amaurosis, renal failure with shunt sepsis and lung opacities suspicious of tumour. Only positive tests for anti-cytoplasmatic antibodies (ACPA) in serum made the diagnosis and led to appropriate treatment. This simple yet highly specific immunofluorescence test should be performed in every case of vasculitis of uncertain cause, even if typical clinical signs of Wegener's granulomatosis are at first absent.

We report on our experience with 47 HIV-positive women, died in the meantime. 32% stated, that they had never taken i.v. drugs. Their clinical pattern varies greatly. Psychosocial problems and infections, such as genital herpes and candidosis and others predominate. Long-term controls of 12 couples with HIV-negative male partner only showed one case of HIV-transmission. Since 1980 21 children were born by these patients, 7 of them are seropositive 2 years after birth, and one of them has meanwhile died of AIDS.