1. From the Arthritis and Rheumatism Branch, National Institute of Arthritis, Metabolism, and Digestive Diseases, National Institutes of Health, Bethesda, Maryland 20014; the Departments of Microbiology and Medicine, Johns Hopkins University School of Medicine, Good Samaritan Hospital, Baltimore, Maryland 21212; and the Laboratory of Pathology, National Cancer Institute, National Institutes of Health, Bethesda, Maryland 20014