A set of 180 hospitalized or outdoor feline patients was examined for the presence of antibodies to feline coronavirus (FeCoV) and clinical signs of feline infectious peritonitis (FIP). The numbers of serologically and clinically positive cats were 55 (30.6%) and 35, respectively. The effusive and noneffusive forms of FIP were diagnosed in 24 and 11 animals, respectively. The most apparent signs, irrespective of the form of infection, included anorexia, lethargy, ischemic mucosae, and undernutrition. Hematological and immunological profiles of 14 FIP patients were compared with those found in a control group of 36 clinically normal and FeCoV-negative animals. A significant increase in the number of neutrophilic granulocytes was observed in the FIP patients (FIV-/FeLVcats with effusive form) and a significant decrease in the number of lymphocytes were observed in the FIP patients. Eosinopenia was also found in patients affected by the effusive form. No alteration of the phagocytic activity (ingestion of particles, chemiluminiscence) due to FIP was demonstrable. The blastic transformation test (stimulation with Con A, PHA, or PWM) showed a marked decrease in the activity of lymphocytes in the FIP patients. Concentrations of immunoglobulins and circulating immune complexes were increased in the affected animals. The expression of the lymphocyte surface antigens CD4, CD5, CD8, and CD21 was studied in a selected subgroup of the patients using flow cytometry. The results indicate an impairment of the activity of the immune system due to FIP. Therefore, treatment of FIP with immunosuppressive drugs is considered inappropriate.