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Journal of Clinical Pathology logoLink to Journal of Clinical Pathology
. 1979 Mar;32(3):261–271. doi: 10.1136/jcp.32.3.261

Eosinophilic leukaemia: morphological, cytochemical, and electron microscopic studies.

B Presentey, Z Jerushalmy, U Mintz
PMCID: PMC1145633  PMID: 429595

Abstract

The eosinophils of a patient with eosinophilic leukaemia were studied with 13 different cytochemical methods using light and electron microscopy. Apart from the 'left shift' of the eosinophils in bone marrow and peripheral blood, the following morphological changes were noted: uncoordinated maturation of the nucleus and cytoplasm, changes in size of the specific granules, and hypogranulation to such an extent that some of the cells bore only very few granules. The cytochemical studies showed a strongly positive periodic acid Schiff reaction in the eosinophils, caused by a high content of glycogen, and a relatively strong positive acid-phosphatase reaction. These cells were also tested for aryl sulphatase and coenzyme Q. Electron microscopy confirmed the presence of a high-content glycogen and a strong acid phosphatase response in the cells. Peroxidase reaction, detected in electron microscopy as well, enabled us to trace the maturation of the eosinophil cell line.

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Selected References

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  1. ACKERMAN G. A. EOSINOPHILIC LEUKEMIA: A MORPHOLOGIC AND HISTOCHEMICAL STUDY. Blood. 1964 Oct;24:372–388. [PubMed] [Google Scholar]
  2. Bengtsson E. Eosinophilic leukemia--an immunopathological reaction? Acta Paediatr Scand. 1968 May;57(3):245–249. doi: 10.1111/j.1651-2227.1968.tb04686.x. [DOI] [PubMed] [Google Scholar]
  3. Benvenisti D. S., Ultmann J. E. Eosinophilic leukemia. Report of five cases and review of literature. Ann Intern Med. 1969 Oct;71(4):731–745. doi: 10.7326/0003-4819-71-4-731. [DOI] [PubMed] [Google Scholar]
  4. Chusid M. J., Dale D. C., West B. C., Wolff S. M. The hypereosinophilic syndrome: analysis of fourteen cases with review of the literature. Medicine (Baltimore) 1975 Jan;54(1):1–27. [PubMed] [Google Scholar]
  5. Dvilansky A., Alkan M. L., Ho W., Kaplan H., Tiberin P., Rachmilewitz B. Chronic eosinophilic leukemia complicated by epidural myeloblastoma. Acta Haematol. 1975;53(6):356–361. doi: 10.1159/000208205. [DOI] [PubMed] [Google Scholar]
  6. Flannery E. P., Dillon D. E., Freeman M. V., Levy J. D., D'Ambrosio U., Bedynek J. L. Eosinophilic leukemia with fibrosing endocarditis and short Y chromosome. Ann Intern Med. 1972 Aug;77(2):223–228. doi: 10.7326/0003-4819-77-2-223. [DOI] [PubMed] [Google Scholar]
  7. GOLDSTEIN D. J. Selective staining of eosinophil granules in sections by alkaline orcein in a concentrated urea solution. Stain Technol. 1963 Jan;38:49–51. [PubMed] [Google Scholar]
  8. Goldfischer S. The cytochemical demonstration of lysosomal aryl sulfatase activity by light and electron microscopy. J Histochem Cytochem. 1965 Jul-Aug;13(6):520–523. doi: 10.1177/13.6.520. [DOI] [PubMed] [Google Scholar]
  9. Hardin J. H., Spicer S. S. An ultrastructural study of human eosinophil granules: maturational stages and pyroantimonate reactive cation. Am J Anat. 1970 Jul;128(3):283–310. doi: 10.1002/aja.1001280303. [DOI] [PubMed] [Google Scholar]
  10. Hardy W. R., Anderson R. E. The hypereosinophilic syndromes. Ann Intern Med. 1968 Jun;68(6):1220–1229. doi: 10.7326/0003-4819-68-6-1220. [DOI] [PubMed] [Google Scholar]
  11. Honsinger R. W., Jr, Silverstein D., Van Arsdel P. P., Jr The eosinophil and allergy: why? J Allergy Clin Immunol. 1972 Mar;49(3):142–155. doi: 10.1016/0091-6749(72)90108-x. [DOI] [PubMed] [Google Scholar]
  12. Hudson G. Eosinophil granules and cell maturity: electron microscopic observations on guinea-pig marrow. Acta Haematol. 1966;36(5):350–360. doi: 10.1159/000209416. [DOI] [PubMed] [Google Scholar]
  13. Hudson G. Eosinophil granules and phosphotungstic acid: an electron microscope study of guinea-pig bone marrow. Exp Cell Res. 1966 Feb;41(2):265–273. doi: 10.1016/s0014-4827(66)80134-9. [DOI] [PubMed] [Google Scholar]
  14. KAPLOW L. S. A histochemical procedure for localizing and evaluating leukocyte alkaline phosphatase activity in smears of blood and marrow. Blood. 1955 Oct;10(10):1023–1029. [PubMed] [Google Scholar]
  15. Karle H., Videbaek A. Eosinophilic leukaemia or a collagen disease with eosinophilia. Dan Med Bull. 1966 May;13(2):41–45. [PubMed] [Google Scholar]
  16. MOLONEY W. C., MCPHERSON K., FLIEGELMAN L. Esterase activity in leukocytes demonstrated by the use of naphthol AS-D chloroacetate substrate. J Histochem Cytochem. 1960 May;8:200–207. doi: 10.1177/8.3.200. [DOI] [PubMed] [Google Scholar]
  17. ODEBERG B. EOSINOPHILIC LEUKEMIA AND DISSEMINATED EOSINOPHILIC COLLAGEN DISEASE--A DISEASE ENTITY? Acta Med Scand. 1965 Feb;177:129–144. doi: 10.1111/j.0954-6820.1965.tb01815.x. [DOI] [PubMed] [Google Scholar]
  18. Presentey B. Cytochemical characterization of eosinophils with respect to a newly discovered anomaly. Am J Clin Pathol. 1969 Apr;51(4):451–457. doi: 10.1093/ajcp/51.4.451. [DOI] [PubMed] [Google Scholar]
  19. Presentey B. Partial and severe peroxidase and phospholipid deficiency in eosinophils. Cytochemical and genetic considerations. Acta Haematol. 1970;44(6):345–354. doi: 10.1159/000208703. [DOI] [PubMed] [Google Scholar]
  20. Presentey B., Perk K. Simultaneous staining of phospholipids, basic proteins, and glycogen on the same slide. J Clin Pathol. 1972 Jul;25(7):608–610. doi: 10.1136/jcp.25.7.608. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Schaefer H. E., Hellriegel K. P., Hennekeuser H. H., Hübner G., Zach J., Fischer R., Gross R. Eosinophilenleukămie, eine unreifzellige Myelose mit Chloroacetatesterase-positiver Eosinophille. Eine morphologische und zytochemische Untersuchung zur Problematik monophyler Myelosen. Blut. 1973 Jan;26(1):7–19. doi: 10.1007/BF01631306. [DOI] [PubMed] [Google Scholar]
  22. Seeman P. M., Palade G. E. Acid phosphatase localization in rabbit eosinophils. J Cell Biol. 1967 Sep;34(3):745–756. doi: 10.1083/jcb.34.3.745. [DOI] [PMC free article] [PubMed] [Google Scholar]
  23. Spitzer G., Garson O. M. Lymphoblastic leukemia with marked eosinophilia: a report of two cases. Blood. 1973 Sep;42(3):377–384. [PubMed] [Google Scholar]
  24. TRANZER J. P., PEARSE A. G. CYTOCHEMICAL DEMONSTRATION OF UBIQUINONES IN ANIMAL TISSUES. Nature. 1963 Sep 14;199:1063–1066. doi: 10.1038/1991063a0. [DOI] [PubMed] [Google Scholar]
  25. Tallgren L. G., Wegelius R., Andersson L. C., Jansson E. Eosinophilic leukaemia--recovery of mycoplasma orale from the bone marrow. Acta Med Scand. 1974 Jan-Feb;195(1-2):87–92. doi: 10.1111/j.0954-6820.1974.tb08102.x. [DOI] [PubMed] [Google Scholar]
  26. Watanabe I., Donahue S., Hoggatt N. Method for electron microscopic studies of circulating human leukocytes and observations on their fine structure. J Ultrastruct Res. 1967 Oct 31;20(5):366–382. doi: 10.1016/s0022-5320(67)80106-0. [DOI] [PubMed] [Google Scholar]
  27. Weinger R. S., André-Schwartz J., Desforges J. F., Baker M. Acute leukaemia with eosinophilia or acute eosinophilic leukaemia: a dilemma. Br J Haematol. 1975 May;30(1):65–70. doi: 10.1111/j.1365-2141.1975.tb00518.x. [DOI] [PubMed] [Google Scholar]
  28. Wulfhekel U., Düllmann J., Bartels H., Hausmann K. Zur Ultrastruktur und Cytochemie von eosinophil-myelomonocytären Leukämien. Virchows Arch A Pathol Anat Histol. 1975;365(4):289–308. doi: 10.1007/BF00471178. [DOI] [PubMed] [Google Scholar]
  29. Yuill G. M., Lascelles R. G., Scholtz C. Eosinophilic leukaemia terminating with an encephalopathy. Postgrad Med J. 1974 Jul;50(585):473–478. doi: 10.1136/pgmj.50.585.473. [DOI] [PMC free article] [PubMed] [Google Scholar]
  30. Zucker-Franklin D. Eosinophil function and disorders. Adv Intern Med. 1974;19:1–25. [PubMed] [Google Scholar]

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