“…normal total y-globulin serum levels in this syndrome [3,4,5,18,23,40,63,72,82,86,88,89,92]. It has been suggested that the increased frequency of infections in patients with Down's syndrome is because most of them are institutionalized and are thus subjected to environ mental conditions involving more frequent exposures to infective agents, or that it is due to the concomitant vitamin A deficiency [32,34], Nevertheless, the environmental conditions at the institutions may not be sufficient to explain the higher frequency of infections in Down's syndrome patients, as other types of institutionalized retar dates do not show as high a frequency of infections [23,83].…”