“…The deficiency of the oldest boy best fits the clinical descriptions of congenital 'agammaglobulinemia' [8,31,34], since repeated infections began in infancy, the total and fractional immunoglobulin levels found were in the range generally described as characteristic for this entity [62], and a serum electrophoretic analysis at seven years of age revealed low or absent gamma globulins. In addition, the marked growth retardation and extent of lung disease noted when he was first seen by us indicated that his illness was chronic.…”