Aug

22

2021

Eosinophils

By William Aird

Single eosinophil (arrow) from a normal peripheral blood smear. Note the characteristic coarse orange-red granules in the cytoplasm and the bilobed nucleus. N, neutrophil (100x, oil).

Three eosinophils (arrows) in a 38-year-old man with drug-induced eosinophilia. N, neutrophil (50x).

Two eosinophils (blue arrows) from a normal peripheral blood smear. Note the characteristic coarse orange-red granules in the cytoplasm and the bilobed nucleus. Black arrow shows platelet overlying a red blood cell (100x, oil).

Bilobed eosinophil (arrow) on peripheral smear from a 26-year-old woman with sickle cell anemia. Note the characteristic coarse orange-red granules in the cytoplasm and the bilobed nucleus. S, sickle cells; P, one of several platelets in the field (100x, oil).

Eosinophil (blue arrow) from a normal peripheral blood smear. Note the characteristic coarse orange-red granules in the cytoplasm and the bilobed nucleus. P, platelet (100x, oil).
ParameterProperties
White blood cell typeEosinophil
Definition Round to oval leukocytes that are present in the blood, bone marrow, and tissues of normal individuals. Recognized by their characteristic coarse orange-red cytoplasmic granulation. Their abundant cytoplasm is generally evenly filled by numerous large coarse, orange-red granules of uniform size. These granules rarely overlie the nucleus (which contains compact chromatin) and exhibit a refractile appearance with light microscopy due to their crystalline structure. In the most mature eosinophilic form, the nucleus is segmented into two or more lobes connected/separated by a barely visible thin filament. About 80% of segmented eosinophils have the classic two-lobed appearance. The rest have 3 lobes. Typically, these lobes are of equal size.
Conditions associated with the cell typeThe most common causes of eosinophilia include allergy, parasitic infection, drugs.
Mechanism of formationEosinophils differentiate in the bone marrow, and then they migrate into blood, constituting about 1–6% of circulating leukocytes.
HistoryFirst identified by Paul Ehrlich in 1879 by virtue of their unique staining properties.
Source/authorWilliam Aird
Reviewed byParul Bhargava
ReferencesClin Rev Allergy Immunol. 2016;50:125