The relationship between immunoglobulin composition and incidence of Australia antigen in patients with Down’s syndrome was investigated. Simultaneous hemochemical, electrophoretic, and immunochemical analyses of serum proteins, immunoglobulins A, G, and M, and hepatitis-associated antigen were performed on the blood of 26 institutionalized patients with Down’s anomaly and 100 healthy volunteers. A 52 to 101% increase in IgG was detected in all patients with Down’s anomaly irrespective of age or sex. A 65% incidence of hepatitis-associated antigen occurred in the patients with Down’s syndrome, and of those positive for hepatitis-associated antigen, 27% exhibited a decrease in IgA. Patients with Down’s syndrome had lower concentrations of α 1-globulin, α 2-globulin, and β -globulin, and an increased γ -globulin. Generally, total serum protein, albumin:globulin ratios, and IgM titers were within normal limits. The results obtained suggest a chronic response to infectious agents rather than an immunologic malfunction in institutionalized patients with Down’s syndrome.