Antimycobacterial antibodies in tuberculous pleural effusions: reliability of antigen 60.

1315 be generally advocated, however, it would be necessary to study larger groups of patients and controls to determine the sensitivity and specificity ofthe test. Ironically, the diagnostic ( ‘gold”) standard against which the test results would be weighed would be clinical evaluation with reproduction of symptoms with hyperventilation. In the final analysis, therefore, I believe that the diagnosis of HVS will continue to rely primarily on the clinician’s high index of suspicion and willingness to subject patients suspected of having HVS to the simple procedure of forced hyperventilation in order to