2. =In pemphigus.= Neusser first recorded that an extraordinarily great,
indeed a specific eosinophilia was found in many cases of pemphigus.
This interesting observation has been confirmed on many sides, in
particular by Zappert, who once observed 4800 oxyphil per mm.^{3}
3. In acute and chronic =skin-diseases=. Canon was the first to notice
that in a fairly large number of skin-diseases, especially in prurigo
and psoriasis, the eosinophil cells are increased up to 17%. The
observation of Canon is worthy of attention, that the increase of the
eosinophils is connected with the degree of extension of the disease,
rather than with its nature or local intensity. In a case of acute
widely distributed urticaria, A. Lazarus found the eosinophils increased
to 60% of the leucocytes, a number which after the course of a few days
again sank to normal.
4. =In helminthiasis.= The first observations on the occurrence of
eosinophilia in helminthiasis we owe to Mueller and Rieder, who obtained
fairly high values (8.2 and 9.7%) in two men suffering from Ankylostomum
duodenale. Shortly afterwards Zappert stated that he had found a
considerable increase of the eosinophil cells in the blood, reaching 17%
in two cases of the same disease; at the same time he demonstrated
Charcot's crystals in the faeces. In a third case of Ankylostomiasis
Zappert found no increase of eosinophil cells in the blood, nor the
crystals in the faeces. Almost simultaneously, Siege made similar
observations.
For a detailed working out of this important branch we are greatly
indebted to Leichtenstern. Under his direction Buecklers established the
interesting fact that Ankylostomiasis in its relation to eosinophilia
does not occupy a special place in diseases caused by worms. All kinds
of Helminthides, from the harmless Oxyuris to the pernicious
Ankylostoma, may bring about an increase of the eosinophil cells in the
blood, often to an enormous extent[28]. Buecklers reports an observation
of 16% eosinophils in Oxyurides, of 19% in Ascarides; and Prof.
Leichtenstern, as we learn from a private communication, has quite
recently found 72% eosinophil cells in a case of Ankylostomiasis, and
34% in a case of Taenia mediocanellata.
It is well worthy of note that Leichtenstern was able to observe
numerous eosinophil cells in the blood in those cases where Charcot's
crystals were abundantly contained in the faeces. Since eosinophil cells
and Charcot's crystals have elsewhere been observed to be interconnected
phenomena (for example in bronchial asthma, in nasal polypi, in myelaemic
blood and bone-marrow) one must fall in with Leichtenstern's supposition
that eosinophil cells ought also to be found in the intestinal mucus in
cases of Ankylostomiasis. Positive observations on this point as yet are
wanting.
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