Low nuclear to cytoplasmic ratio (more cytoplasm than nucleus)
Nucleus is mature and usually with 2 lobes connected by thin chromatin filament
Nucleoli are absent
More cytoplasm with only secondary granules
Secondary (specific) granules are eosinophilic (red-orange)
› Normal % blood-PB, marrow-BM, lymphoid tissue-LN:
PB: Scattered (4th most common WBC in blood, after neutrophils, lymphocytes and monocytes)
BM: Rare scattered
LN: Rare to None
› May Resemble:
Segmented Neutrophil
Pseudo-Pelger Huet Neutrophil
Band Neutrophil
Neutrophil with toxic granules
Promyelocyte
Basophil
› Differential Diagnoses:
Increased in: Allergy-related (e.g. Asthma) Drug reactions Invasive parasitic infections Myeloproliferative neoplasms Hodgkin's and non-Hodgkin's lymphomas Autoimmune disorders (some)
› Classic Immunophenotype:
CD45dim+
High SSC (Side light scatter)
CD13dim+
CD16-
CD15dim+
› Cartoon Image:
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› Misc:
Increased amounts are commonly associated with:
Drugs
Allergy
Infection (specially invasive multicellular parasites)
Neoplasm (e.g. Myeloid neoplasms such as some AMLs or MPNs)
Idiopathic