A Manual of Clinical DiagnosisTodd, James Campbell
Science
A Manual of Clinical Diagnosis
Todd, James Campbell
Diagnosis, Laboratory
To demonstrate iodophilia, place the air-dried films in a stoppered
bottle containing a few crystals of iodin until they become yellow.
Mount in syrup of levulose and examine with a one-twelfth objective.
(_e_) Eosinophilic Leukocytes, or "Eosinophiles" (Plate VI).--The
structure of these cells is similar to that of the polymorphonuclear
neutrophiles, with the striking difference that, instead of fine
neutrophilic granules, their cytoplasm contains coarse granules having
a strong affinity for acid stains. They are easily recognized by the
size and color of the granules, which stain bright red with Wright's
stain.
Eosinophiles are formed in the bone-marrow from eosinophilic
myelocytes. Their normal number varies from 50 to 400 per c.mm. of
blood, or 1 to 4 per cent. of the leukocytes. An increase is called
_eosinophilia_, and is better determined by the actual number than by
the percentage.
Slight eosinophilia is physiologic during menstruation. {183} Marked
eosinophilia is always pathologic. It occurs in a variety of
conditions, the most important of which are: infection by animal
parasites; bronchial asthma; myelogenous leukemia; scarlet fever; and
many skin diseases.
Eosinophilia may be a symptom of _infection by any of the worms_. It
is fairly constant in trichinosis, uncinariasis, filariasis, and
echinococcus disease. In this country an unexplained marked
eosinophilia warrants examination of a portion of muscle for _Trichina
spiralis_ (p. 255).
_True bronchial asthma_ commonly gives a marked eosinophilia during
and following the paroxysms. This is helpful in excluding asthma of
other origin. Eosinophiles also appear in the sputum in large numbers.
In _myelogenous leukemia_ there is almost invariably an absolute
increase of eosinophiles, although, owing to the great increase of
other leukocytes, the percentage is usually diminished. Dwarf and
giant forms are often numerous.
_Scarlet fever_ is frequently accompanied by eosinophilia, which may
help to distinguish it from measles.
Eosinophilia has been observed in a large number of _skin diseases_,
notably pemphigus, prurigo, psoriasis, and urticaria. It probably
depends less upon the variety of the disease than upon its extent.
(_f_) Basophilic Leukocytes or "Mast-cells" (Plate VI).--In general,
these resemble polymorphonuclear neutrophiles except that the nucleus
is less irregular and that the granules are larger and have a strong
affinity for basic stains. They are easily recognized. With Wright's
stain the granules are deep purple, while the nucleus is pale blue and
is nearly or quite hidden by the granules, so that its form is
difficult to make out. These granules are not colored by Ehrlich's
stain.
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