He says: "Ces globules granuleux actifs
presentaient des mouvements de progression et des changements de forme
caracteristiques et rapides; cependant je n'ai pas vu ces globules
presenter de pseudopodes effiles; de plus, leurs contours restaient
presque toujours assez nettement arretes. Ces particularites
correspondent exactement a la description, qu'a donnee depuis longtemps
Max Schultze des mouvements des cellules granuleuses du sang normal."
Examination of dry specimens from the same case shewed, as Jolly
expressly mentioned, that the blood contained, as leukaemic blood always
does, polynuclear and mononuclear eosinophil cells. In contrast then
with all earlier observations, Jolly has demonstrated an active
spontaneous movement of the mononuclear eosinophil cells. The amoeboid
movement of the mononuclear cells is so seldom seen, not because they
lack this function, but obviously from defects in the methods of
investigation, which as is manifest are rather rough and wholly unsuited
for delicate biological processes. There are many instances in the
literature of the failures of this method, even in the case of cells
with undisputed mobility. Thus Rieder failed to observe any
contractility in the majority of polynuclear leucocytes in a case of
malignant lymphoma, whereas according to all other observations they
possess this property without exception.
We think then we must draw the conclusion that the feeble mobility of
the mononuclear cells, both eosinophilous and polynuclear, is only
apparent, and is owing to the gross method of investigation. In reality
they doubtless have mobility sufficient for emigration.
A further, but much less weighty objection to the view that myelogenic
leukaemia is an active leucocytosis is, that pus artificially produced in
leukaemic patients has nearly always the histological constitution of
normal pus. But from our previous detailed remarks we should only expect
a myelaemic constitution of the pus, if the specific morbid agent of
leukaemia were present in a concentrated form at the place of
inflammation. Just as we saw in pemphigus, Neusser's eosinophilous
suppuration occurred only in the specific pemphigus bullae, but not in
the foci of suppuration that were artificially produced. We know that
the myelocytes are in no way positively influenced by the chemiotactic
stimuli of ordinary infectious agents. On the contrary, it clearly
follows from the above-mentioned observations on the transformation of
leukaemic blood under the influence of infectious diseases, that the
common bacterial poisons act in a negatively chemiotactic sense, both on
the eosinophil and on the neutrophil mononuclear cells. Under these
circumstances we should indeed expect that artificially produced
suppuration in leukaemic patients would have, not a myelaemic, but a
polynuclear neutrophil character.
Public-domain text, read in full here on John Shaqi.
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