On the other hand, an increase of eosinophil cells associated with a
chronic tumour of the spleen, is analogous to Kurloff's secondary
reaction of the bone-marrow. Such cases are frequently found in the
literature. For instance Mueller and Rieder bring forward three cases of
splenic tumour caused by congenital syphilis, cirrhosis of the liver,
neoplasm in the cranial cavity, and in which the numbers of the
eosinophils amounted to 12.3%, 7.0%, 6.5% respectively. In three cases
of acute splenic tumour in typhoid fever the figure 0.31% with a maximum
of 0.82%, was found. These authors have already raised the question
"whether the increase of the eosinophil cells is connected with the
splenic tumour or the bone-marrow? Perhaps the functional activity of
the latter is vicariously raised to meet the more or less complete
exclusion of the spleen from the formation of the blood; since Ehrlich
has distinctly asserted that the probable place of formation of the
eosinophil cells is the bone-marrow."
From what has been brought forward no doubt can now remain that the
question has been decided quite in Ehrlich's favour.
But what then are the physiological functions of the spleen, since that
organ is unnecessary for the persistence of life? Doubtless its chief
duty is the taking up of the greater part of the decaying fragments of
red and white blood corpuscles in the blood-stream, so that this
valuable material is not quite lost for the organism. Thus Ponfick has
found that after destruction of the red corpuscles the spleen takes up a
portion of their "shadows," and for this reason calls the splenic tumour
a spodogenous splenic tumour ([Greek: spodos], ruins). Ehrlich has made
a corresponding observation for the products of dissolution of the white
blood corpuscles, and has proved that the splenic tumour which occurs in
many infectious diseases and in phosphorus poisoning is to a large
extent caused by the parenchyma of the spleen taking up the remains of
the neutrophil protoplasm.
Public-domain text, read in full here on John Shaqi.
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