Our knowledge of eosinophil leucocytosis is still of comparatively
recent date. After Ehrlich demonstrated the constant increase of the
eosinophil cells in leukaemia a considerable time elapsed before an
eosinophilia was found in other diseases, an eosinophilia however that
differs in its essential traits from the leukaemic type. To Friedrich
Mueller we owe the first researches in this direction, at whose
suggestion Gollasch investigated the blood of persons suffering from
asthma; in which he was able to demonstrate a considerable increase of
the eosinophil cells. This was followed by the researches of H. F.
Mueller and Rieder, who discovered the frequency of eosinophilia in
children, and its presence in chronic splenic tumours; further by the
well-known work of Ed. Neusser, who observed a quite astounding
increase of the oxyphil elements in pemphigus, and by the almost
simultaneous analogous observations of Canon in chronic skin diseases.
From amongst the flood of further papers upon this condition we will
only mention the comprehensive account of the subject by Zappert.
By =eosinophilia= we understand an =increase only of the polynuclear
eosinophil cells in the blood=. Confusion of this form of leucocytosis
with leukaemia is quite impossible, because a good number of
characteristic signs are necessary for the diagnosis of the latter, as
we shall have to explain in the next section. The presence of
mononuclear eosinophil cells in the blood should not be regarded, as is
the case in many quarters, as an absolute proof of leukaemia, for they
are also found in isolated cases of ordinary leucocytosis.
The increase of eosinophil cells is not always relative, but may be
absolute. The relative number, normally 2 to 4% of all leucocytes, rises
in eosinophilia to 10, 20, 30% and over; in a case described by Grawitz
90% indeed was found. The thorough researches of Zappert, carried out on
moist preparations by a suitable method, are particularly instructive
with regard to their absolute number. As the lowest normal value he
gives 50-100 eosinophil cells per mm.^{3}, as mean value 100 to 200, as
a high normal value 200-250. The highest absolute number he has ever
found was 29,000 per mm.^{3} in leukaemia, the highest number in simple
eosinophil leucocytosis 4800 (in a case of pemphigus). Reinbach indeed
once found about 60,000 eosinophil cells per mm.^{3} in a case of
lymphosarcoma of the neck with metastases in the bone-marrow.
Polynuclear eosinophil leucocytosis, apart from the form observed
in healthy children, occurs in varied conditions, and for
comprehensiveness we divide them into several groups. We distinguish
eosinophilia:
1. =In bronchial asthma.= Increase of the eosinophil cells of the blood,
often considerable, amounting to 10 and 20% and more has been regularly
found, first by Gollasch, later by many other observers. (For the
special clinical course of the eosinophilia in asthma see below.)
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account