1. =polynuclear neutrophil leucocytosis=,
2. =polynuclear eosinophil leucocytosis=;
([beta]) =mixed leucocytoses= in which the granulated mononuclear
elements take part; "=myelaemia=."
[alpha] 1. ~Polynuclear neutrophil leucocytosis~, is the most frequent
of all forms of active leucocytoses.
Virchow, the discoverer of leucocytosis, advocated the view, that it
resulted from an increased stimulation of the lymph glands. The
stimulation of the lymph glands consists in "that they are engaged in an
increased formation of cells, that their follicles enlarge, and after a
time contain many more cells than before." The swelling of the lymphatic
glands has as a consequence an increase of the lymph corpuscles in the
lymph, and through this an increase again of the colourless blood
corpuscles.
This standpoint had to be abandoned, when Ehrlich shewed that it is
chiefly the emigration of the polynuclear neutrophil cells, which brings
about leucocytosis. Exact figures on this point were first given by
Einhorn, who worked under Ehrlich, and were later generally confirmed.
Corresponding with the increase of neutrophil blood corpuscles alone,
there is always a relative decrease of lymphocytes, often to 2% and even
lower. It must here be borne in mind, that the percentage of the lymph
cells may be much diminished, without change in their absolute number.
It has however been conclusively demonstrated that occasionally in
polynuclear leucocytosis, the absolute number of the lymphocytes may
decrease. Einhorn had already described a case of this kind, and
recently Tuerk has for the first time established the fact by an
abundance of numerical estimations[25].
The eosinophil cells are as a rule diminished in ordinary polynuclear
leucocytosis, as Ehrlich had already mentioned in his first
communication. The diminution is often considerable, often indeed
absolute.
A few diseases shew, besides the neutrophil leucocytosis, an increase of
the eosinophils as well, as we shall describe in detail in the next
section.
Polynuclear neutrophil leucocytosis--leucocytosis [Greek: kat'
exochen]--may be divided into several groups =according to their clinical
occurrence=. We distinguish:
A. =physiological leucocytosis=,
which appears in health as an expression of changes in the physiological
state. To this group belongs the leucocytosis of digestion, the
leucocytosis from bodily exertion (Schumburg and Zuntz) or from cold
baths, and further the leucocytosis of pregnancy.
B. =pathological leucocytosis=.
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