5. =The eosinophil cells.= These are characterised by a coarse, round
granulation, staining deeply with acid dyes, and similar in other
respects to the polynuclear neutrophils. With faint staining, a thin
peripheral layer of the eosinophil granule is seen more deeply stained
than the interior. The nucleus as a rule is not so deeply stained as in
the polynuclear neutrophil, but otherwise in its general shape is
completely similar. Both forms have in common a considerable
contractility, which renders possible their emigration from the vessels,
and their appearance in exudations and in pus. The size of the
eosinophils frequently exceeds that of the neutrophils. Their number is
normally about 2-4% of the white cells.
6. The mast cells. These are present, though very sparingly, in every
normal blood; 0.5% is their maximum number in health.
Their intensely basophil granulation, of very irregular size and unequal
distribution, must specially be mentioned. The granulation possesses the
further peculiarity, in that with the majority of basic dyes it stains,
not in the pure colour of the dye, but metachromatically--most deeply
with thionin. As Dr Morgenroth found, the deviation from the colour of
the dye is still more marked with Kresyl-violet-R (Muelheim manufactory),
when the granules stain almost a pure brown.
The staining power of the nuclei is very small, and it is therefore hard
to make out the shape of the nucleus without the use of difficult
methods. In triacid preparations the granulation is unstained, and the
mast cells appear as clear, polynuclear cells, free from granules.
* * * * *
So much for the colourless cells in the blood of the normal adult.
In pathological cases, not only do the forms so far mentioned occur in
altered numbers, but abnormal cells also make their appearance. To these
belong:
1. =Mononuclear cells with neutrophil granulation.= ("=Myelocytes=,"
Ehrlich.) Generally they are bulky, with a relatively large, faintly
staining nucleus, often fairly centrally placed, and equally surrounded
by protoplasm on all sides. A fundamental distinction from the large
mononuclear cells lies in the fact that the protoplasm exhibits a more
or less numerous neutrophil granulation. Besides the larger myelocytes,
much smaller forms, approximating to the size of the erythrocytes are
also found. All transitions between these two stages are likewise met
with. In contradistinction to the polynuclear neutrophil elements, these
mononuclear forms shew no amoeboid movement on the warm stage. They
form a constant characteristic of myelogenic leukaemia, and in these
cases generally occur in large numbers.
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