Exactly analogous conditions, occurring spontaneously, have been
demonstrated by Leredde and Perrin in the so-called Duehring's disease.
The bullae which appear in this dermatosis contain, so long as their
contents are clear, chiefly polynuclear eosinophil cells. In a later
stage, as is usually the case, bacteria effect an entrance into the
bullae, which now become filled with neutrophils.
According to modern views on suppuration, the experiment of Neusser and
the observation of Leredde and Perrin can only be explained by the
hypothesis, that the eosinophil and neutrophil cells, as we have
already several times mentioned, are of different chemiotactic
irritability. Hence the eosinophil cells only emigrate to those parts
where a specific stimulating substance is present. From this point of
view experiments and clinical observations known up to the present on
eosinophilia may be readily explained. Neusser's experiment for instance
may be explained in the following way. In the pemphigus bullae a
substance is present that chemiotactically attracts the eosinophils.
Hence the cells normally contained in the blood emigrate into them, and
produce the picture of an eosinophilous suppuration. Should the disease
assume from the first a localised distribution only, the essential
feature of the process is excluded. =A totally different appearance,
however, is produced= when the disease has attacked large areas. =Under
these circumstances large amounts of the specific active agent reach the
blood-stream by absorption and diffusion. Here it exercises a strong
chemiotactic influence on the physiological storage depot of the
eosinophils, the bone-marrow; leading to an increase of the eosinophils
of the blood to a greater or less degree. The bone-marrow, according to
general biological laws, is by the increased emigration now further
stimulated to a fresh production, and during a protracted illness can
hence keep up the eosinophilia.=
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