Eosinophils

Overview and Clinical Significance

Eosinophils are a type of white blood cell (WBC) involved in immune defense, allergic reactions, and inflammation regulation. They contain granules filled with enzymes that help combat parasites, infections, and inflammatory conditions.

Clinical Significance

  • Parasitic Infections: Eosinophils play a key role in fighting helminths and protozoa, releasing toxic granules to eliminate pathogens.
  • Allergic & Asthma Responses: Elevated eosinophil levels are commonly seen in asthma, allergic rhinitis, and eosinophilic esophagitis, contributing to inflammation.
  • Autoimmune & Inflammatory Disorders: Increased eosinophils are linked to eosinophilic granulomatosis with polyangiitis (EGPA), inflammatory bowel disease (IBD), and vasculitis.
  • Cancer & Hematologic Conditions: Eosinophilia may indicate certain leukemias, lymphomas, or hypereosinophilic syndromes.
  • Diagnostic Use: Eosinophil counts are assessed in complete blood count (CBC) tests, helping diagnose immune, allergic, and hematologic disorders.

Eosinophils are key immune regulators, influencing inflammatory responses, allergic conditions, and parasitic defense.

Increasing +

Decreasing -

Allergic Disorders

  • Conditions like asthma, allergic rhinitis, food allergies, and atopic dermatitis often present with eosinophilia.

Parasitic Infections

  • Infestations (especially with helminths) typically trigger an eosinophilic response.

Autoimmune or Drug Reactions

  • Some autoimmune disorders and hypersensitivity drug reactions also elevate eosinophils.

Usually Not Pathologic

  • Low eosinophil counts are generally not a cause for concern unless accompanied by an overall suppression of white blood cells.

More Info

Related

Children

  • Eosinophil responses can be robust in children prone to atopy.

Adults

  • In adults, a new onset of eosinophilia can mark recent allergen or parasite exposure.

All Markers