As a =third= possibility for the local origin of the eosinophil cells,
their direct descent from neutrophil cells is conceivable, and is by
many regarded as a kind of ripening. This assumption nevertheless must
be described as unsound, since the necessary condition of its
foundation, namely the observation of corresponding transitional stages,
has not so far been fulfilled.
By the inductive method then we conclude that a local origin of the
eosinophil cells can hardly come under discussion. And this conclusion
is strengthened by comparison with the behaviour of the mast cells,
which are related to the eosinophils in many points, and only differ
from them essentially in the nature of their granulation. The mast cells
too, like the eosinophils, form a normal constituent of the bone-marrow,
and occur regularly besides in normal blood, though in very small
number--according to Canon they amount to 0.28% of the leucocytes. We
know that the mast cells are produced in large quantities locally,
wherever an over-nutrition of the connective tissue occurs, for instance
in chronic diseases of the skin, elephantiasis, brown induration of the
lungs. In the case of the mast cells, then, we see the conditions
actually realised, which the supporters of the theory of the local
origin of the eosinophil cells only assume. We should therefore expect
that an increase of mast cells in the blood or in certain inflammatory
exudations would be by no means seldom. With this point in mind Ehrlich
has subjected the sputum in emphysema and brown induration of the lungs
to exact examination for 20 years. Nevertheless he has obtained =entirely
negative= results. The special blood investigations of Canon have
likewise proved to be practically negative. In 22 healthy persons Canon
entirely failed to find the mast cells on nine occasions, in the others
he found on the average 0.47%; the highest percentage number obtained
was 0.89%. Only in a few cases of skin disease was a slight increase
indicated. The average amounted to 0.58%, a number, therefore, which is
often to be found in healthy individuals. A leucocytosis of mast cells,
comparable with the eosinophil or neutrophil forms of leucocytosis, has
not been demonstrated in the cases of Canon or other observers. On the
other hand, the mast cells undergo a considerable increase in myelogenic
leukaemia, in many cases equalling or even exceeding that of the
eosinophils. We shall not err in deriving the mast cells of the blood
solely from the bone-marrow, on the grounds of this fact; or in
conjecturing that their origin is not from the connective tissue, even
when they are there excessively increased[30].
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