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A woman had the typical clinical, cutaneous, and muscular picture of dermatomyositis but without some of the biochemical alterations of that disease. The positive serological investigations for toxoplasmosis, the pressure in muscles of very numerous toxoplasms and their culture in mice, and the improvement after treatment with pyrimethamine and sulphametoxypyridine demonstrated that the signs of dermatomyositis had been caused by infection with toxoplasmosis.

There have been some results of the antitoxotoxin investigation into antibodies in cases variously positive to the Dye test for the toxoplasmic infectious disease. The results point to various etiological considerations, therapeutic and therapeutic-prophylactic, on which the AA dwell briefly. They touch upon the possibility of a timely recourse to desensitization which, however, is sometimes not excluded even in cases which show a negative result to the toxotoxin.

A short epidemiological presentation of the toxoplasmic infectious disease in our country on suspected cases compared with a clinically healthy group shows the importance of the phenomenon, especially for its various preventative and therapeutic implications.

We examined more than 1,400 dermatologic patients with clinically defined (but having unknown or presumably multiple etiology) affections. The investigation revealed the presence of antitoxoplasma antibodies in more than 50% of the patients, but in only 11% of the cases did the serological analyses give evidence of an active form of disease. It was possible to prove the toxoplasmic etiology of 29 cases of chronic prurigo and of 4 cases of dermatocellulitis. The same infection was involved in a few cases of different dermatoses and in two cases of dermatomyositis-like syndrome. Pseudotumoral granulomatous localizations occurred in immunosuppressed patients. We suggest an 'immunological key' to explain the polymorphism of the cutaneous manifestations. The practical interest of this new knowledge and its importance as a field of interdisciplinary studies are emphasized.

The authors have studied the antitoxoplasmic antibody behaviour longitudinally in a sample of pregnant women and in one of nonpregnant women, all of them not affected by an active infectious process. No significant difference has been found between the various pregnancy trimesters. The antibody titre in non-pregnant women has proved significantly higher than in the pregnant ones. In a sample of 131 women it has been found that the antibody titre before pregnancy is significantly higher than the one present in the first trimester. The authors conclude that during pregnancy the antitoxoplasmic antibody level is lower as compared to the one of non-pregnant women; and this phenomenon implies various hypothese calling for further discussion.

Of 356 samples of human sera collected from native patients in two distinct zones of Somalia, 53% were positive (greater than or equal to 1:8) to the dye-test for Toxoplasma gondii antibodies. A significantly lower incidence (P less than 0.01) of infection was found in patients living in the arid Mogadishu area, compared to that in patients from villages on the river borders, situated in humid soil zones. Furthermore, in 4.2% of the river area cases the titres were over 300 I.U., indicating that acute T. gondii infection exists among the Somalian population. These differences were regarded as being due to climatic and geographical conditions rather than to diet or socio-economic conditions.

In this note we described the E.L.I.S.A. test, applied to diagnostic of Toxoplasmosis, at short period of reaction. The reading has been made with naked eye. The examined sera have been previously titred to the Dye test. The authors have been able to establish the antigenic dilution as well as the short period of the best reaction to carry on the E.L.I.S.A.

The Author's study ranges from the historical background of Toxoplasma gondii to our current biological knowledge and the role of Toxoplasma gondii in pathology and human infection. The Author has considered the diagnosis--always problematic from the interpretative point of view--and, on the basis of his own long and extensive research, suggests the usefulness of a comparison with the results obtained from the dye test findings observed in longitudinal surveys of new born up to a maximum age of 96 months. The Author believes that these results can represent an element of comparison for the purpose of prognosis, therapy and prophylaxis, and above all, in sedation to combat anxiety states, and banal preoccupations.

After briefly outlining the biology of Toxoplasma gondii the authors discuss the resistance of the parasite in body liquids and tissues under certain environmental conditions. Parasite resistance and its consequent risk of human infection, particularly for the pregnant woman, is emphasized. Toxoplasma oocysts, the sexual expression of the parasite, and the cyst facilitate the diffusion of Toxoplasma, as they are much more resistant than the trophozoite.