RT Journal A1 Green JB T1 THe colloidal gold test of the spinal fluid JF JAMA JO JAMA YR 1969 FD September 22 VO 209 IS 12 SP 1908 OP 1908 DO 10.1001/jama.1969.03160250064028 UL http://dx.doi.org/10.1001/jama.1969.03160250064028 AB To the Editor:—  Nicholas J. Fiumara, MD (Question and Answers, 208:2168, 1969), stated in reply to a question about Lange's colloidal gold test, that it "offers little more in diagnostic help than the total protein test [of cerebrospinal fluid]."This statement may be valid in respect to the diagnosis of neurosyphilis but is incorrect if applied to neurologic diagnosis in general.1 Multiple sclerosis and subacute sclerosing panencephalitis are two diseases often associated with an abnormal gold curve in the presence of a normal cerebrospinal fluid total protein value. In fact, an abnormal gold curve may call attention to these diagnostic possibilities, when they have not been previously suspected. In such cases a sample of cerebrospinal fluid should be sent to a more specialized laboratory which can perform electrophoretic studies.