Eosinophils 16.5 in venous blood. Why are eosinophils elevated in the blood, what does this mean? Manifestations and certain types of eosinophilia as an independent pathology

Eosinophils - cells that phagocytize antigen-antibody complexes, represented mainly by immunoglobulin E. After maturation in the bone marrow, eosinophils are in the circulating blood for several hours (about 3-4), and then migrate to tissues, where their life expectancy is 8-12 days . Unlike eosinophils, they do not contain lysozyme and alkaline phosphatase. Eosinophils are characterized by a daily rhythm of fluctuations in the blood, the highest rates are observed at night, the lowest - during the day. Eosinophils respond to chemotactic factors secreted by mast cells and basophils, as well as to antigen-antibody complexes. The action of eosinophils is actively manifested in sensitized tissues. They are involved in immediate and delayed hypersensitivity reactions. The content of eosinophils in the blood is normally reflected in the table.

The content of eosinophils (absolute and relative percentage) in the blood is normal in adults and children

Eosinophilia as a sign of allergy

In allergic conditions, eosinophilia is usually moderate - from 0.2 to 1.5 * 10^9 / l, but in some cases it can be higher, for example, with bronchial asthma or angioedema. Pronounced and stable eosinophilia (from 10 to 60%) can be with pemphigus and Duhring's dermatitis herpetiformis. In addition, eosinophilia is accompanied by periarteritis nodosa (about 18% of patients have an eosinophil level reaching 84%), rheumatoid arthritis complicated by vasculitis and pleurisy. There is also a hypereosinophilic syndrome, in which it reaches 138.0 * 10^9 / l, while eosinophils account for 93% of the cells.

The main causes leading to eosinophilia in the blood are shown in the table.

Diseases and Conditions Accompanied by Eosiophilia

To decipher the values of other analysis indicators, you can use our service: online.

What are eosinophils and why can their blood levels rise? Jumps in the concentration of these cells in different categories of patients.

This is one of the subspecies of such formed blood elements as. They are synthesized in the red blood marrow, after which they mature within 4 days. Adult eosinophils are found in the skin, lungs, and gastrointestinal tract. They live there for up to two weeks.

In the blood of a healthy person, they should be in very small quantities. For some reason, experts have not yet studied the full list of functions of these cells.

At the same time, they are clinically proven to play a very important role in protecting the body against inflammation and allergies.

By phagocytosis, they destroy foreign protein agents and clean tissues from their remnants. Therefore, when the latter enter our body, the production of eosinophils increases.

Their number in the blood always fluctuates during the day. Most of them in it at night, and least of all during the day. Eosinophilic concentration is a very important parameter in diagnosing the state of immunity (shows its ability to defend itself).

Eosinophilia

This is the name of the condition when the number of eosinophils is exceeded. Their normal concentration will depend on the age of the patient. :

In women and men, the rate of eosinophils in% will be 1-5, and in 10 9 / l - 0.02 - 0.5. In pregnant women, this figure is the same. If we talk specifically about the number of cells per millimeter of analyzed blood, in women it can be from 100 to 120, in men from 300 to 350.

Specialists conditionally divide eosinophilia into several degrees of severity;

Easy -% number from 5 to 10.
Moderate - 10-15%.
Expressed - over 15%.

A pronounced degree indicates an increased synthesis of eosinophils, which means that the body is strenuously fighting some kind of infection. It is important to take into account the characteristics of a particular patient and factors that can change the amount of formed elements in the blood.

Eosinophils in the blood

Why can the level rise?

There are some non-pathological factors that increase the concentration of eosinophils.

These include:

During sleep, the level of these cells rises to 30%, often such a sharp jump is observed at the very beginning of the cycle.
Rise in the evening time period.
Features of nutrition. If the patient eats a lot of sweets, drinks a lot of alcohol-containing drinks, then the level of the eosinophilic number increases.
The number of these cells is affected by treatment with certain pharmacological drugs:

hormonal agents;
chlorpropamide;
chymotrypsin;
beta blockers;
eufillin;
papaverine;
miscleron;
imipramine;
vitamin complexes with B-group vitamins;
preparations containing sulfanilamide and gold;
penicillins;
anti-tuberculosis;
diphenhydramine;
aspirin.

5. Menstruation. the number of eosinophils increases at the initial stage of the menstrual cycle, with the approach of ovulation it decreases.

6. Acute lack of magnesium.

7. Food allergy (in children, this often occurs with intolerance to cow's milk).

8. Extensive frostbite and burns.

9. Overdose of aspirin- and iodine-containing drugs.

When an increase in eosinophils is diagnosed through a laboratory test, doctors almost always order several repeat of the same tests. They are carried out sequentially and are needed to track the dynamics of eosinophilic concentration in the blood.

Since eosinophilia is an accompanying symptom, and not a separate disease, there are pathologies that cause it. They are divided into several main groups:

Let's consider each group in more detail.

Amoebiasis;
Trichinosis;
Echinococcosis;
Paragonimiasis;
Malaria;
Strongyloidiasis;
Filariasis;
Ascariasis;
Giardiasis;
Opisthorchiasis;
Toxocariasis.

Eosinophilia in a pronounced degree with a value of 30 to 50% is observed in trichinosis, echinococcal tumors of the lungs, spleen and liver.

It is because of it that the number of eosinophils often increases. Eosinophilia appears when:

Myositis;
fasciitis;
Urticaria;
Rhinitis of an allergic nature;
hay fever;
Allergic reaction to medications;
serum sickness;
Bronchial asthma;
Quincke's edema;
Pollinose.

Such diseases are treated with a complex of taking antihistamines and other additional specific medications.

Pathologies of internal organs

To diagnose these diseases, additional tests are required. Treatment may be medical or surgical.

Blood diseases

Usually, eosinophils increase with Cesari's syndrome, pernicious and some other types of anemia, polycythemia, lymphogranulomatosis, myeloid leukemia, erythremia.

Some of their blood pathologies, if left untreated, are fraught with death.

Skin diseases

Almost all of these pathologies cause eosinophilia. Here are the most common:

fungal formations on the skin and nails;
eczema;
pemphigus;
dermatitis of contact and autotopic types;
pemphigus vulgaris;
multi-colored lichen.

Prescribe medications in combination with local remedies (ointments, creams, gels). Antibiotics are also often prescribed.

Autoimmune diseases

The number of eosinophils often increases with systemic lupus erythematosus, scleroderma. It can grow with rejection of the installed graft.

infectious diseases

Due to the fact that when an infection enters the body, the latter begins to conduct an intensified fight, an active synthesis of eosinophils is launched. Chronic and acute forms of the disease can provoke eosinophilia.

It is typical when:

mononucleosis;
gonorrhea;
Scarlet fever and many other diseases of a viral and bacterial nature.

Tumors

Eosinophilia is caused by tumor processes of various forms. The number of formed elements increases with lymphoma and lymphogranulomatosis.

Neoplasms can be located in absolutely any organ and system (stomach, lungs, genitals, thyroid gland, etc.). As the cancer progresses to advanced stages and the tumor begins to metastasize, the number of eosinophils grows even faster.

Elimination of eosinophilia

When this dysfunction is detected, the specialist needs to understand what caused such a jump in eosinophils. To do this, he collects a detailed history, examines the patient.

An additional complete blood count may be performed. Therapeutic measures for eosinophilia are completely dependent on the root cause of the pathology.

Often, when it is eliminated, the level of eosinophils is normalized without any additional drug exposure.

If the patient has a hypereosinophilic syndrome, he must be prescribed drugs that inhibit the synthesis of eosinophils. This is necessary for a high risk of damage to various vital organ systems, including the heart.

2 548

Update: October 2018

Among many blood cells, there is a population of white blood cells called eosinophils, which are markers that determine:

The cells got their name due to the ability to perfectly absorb the eosin dye used in laboratory diagnostics. Under the microscope, the cells look like small, double-nucleated amoebas that are able to move outside the vascular wall, penetrate tissues, and accumulate in inflammatory foci or tissue damage. In the blood, eosinophils swim for about an hour, after which they are transported to the tissues.

For adults, the normal content of eosinophils in a clinical blood test is from 1 to 5% of the total number of leukocytes. Eosinophils are determined by flow cytometry using a semiconductor laser, while the norm in women is the same as in men. More rare units of measurement are the number of cells in 1 ml of blood. Eosinophils should be from 120 to 350 per milliliter of blood.

The number of these cells can fluctuate during the day against the background of changes in the work of the adrenal glands.

In the morning evening hours, eosinophils are 15% more than normal
In the first half of the night, 30% more.

For a more reliable analysis result, you should:

Take a blood test in the early morning hours on an empty stomach.
For two days, you should refrain from alcohol and excessive consumption of sweets.
Also, eosinophils can increase during menstruation in women. Starting from the moment of ovulation, until the end of the cycle, their number drops. This phenomenon is based on the eosinophilic test of ovarian function and determining the day of ovulation. Estrogens increase the maturation of eosinophils, progesterone - reduces.

Eosinophils: the norm in children

As the child grows, the number of eosinophils in his blood fluctuates slightly, as can be seen from the table.

Eosinophils are above normal, what does it mean

A significant increase in the number of eosinophils is considered a condition when there are more than 700 cells per milliliter (7 by 10 to 9 grams per liter). The increased content of eosinophils is called eosinophilia.

Growth up to 10% - mild degree
10 to 15% - Moderate
Over 15% (more than 1500 cells per milliliter) - severe or severe eosinophilia. In this case, changes in the internal organs can be observed due to cellular and tissue oxygen starvation.

Sometimes errors occur when counting cells. Eosin stains not only eosinophilic granulocytes, but also granularity in neutrophils, then neutrophils are lowered, and eosinophils are increased for no good reason. In this case, a control blood test will be required.

What leads to eosinophilia

When eosinophils are elevated in the blood, the reasons lie in the allergic readiness of the body. This happens when:

malignant neoplasms.

If eosinophils are elevated in the analysis, the adult is going to:

feces on eggs of worms
performed

In allergic rhinitis, swabs are taken from the nose and throat for eosinophils.
If bronchial asthma is suspected, spirometry and provocative tests (cold, with berotek) are performed.
The allergist further conducts specific diagnostics (determination of allergens using standard sera), clarifies the diagnosis and prescribes treatment (hormonal preparations, sera).

Eosinophils are elevated in a child

The most common causes of elevated eosinophils in children are:

In newborns and babies in the first months of life:

Six months to three years:

Over three:

hemolytic disease
pemphigus newborn
staphylococcal sepsis
serum sickness
eosinophilic colitis

atopic dermatitis
drug allergies
angioedema

helminthic invasions (see)
skin allergies
allergic rhinitis
bronchial asthma
oncohematology
With an infectious, painful shock, when the blood cells stick together into tin-like formations inside the vessels.
With heavy metal poisoning (lead, copper, mercury, arsenic, bismuth, cadmium, thallium).
With chronic stress.
Against the background of pathologies of the thyroid gland and.
In the advanced stage of leukemia, eosinophils fall to zero.

Associated increases in eosinophils

Lymphocytes and eosinophils are increased in viral infections in allergic people, in patients with allergic dermatoses or helminthiases. The same picture will be in the blood of those who are treated with antibiotics or sulfonamides. In children, these cells increase with scarlet fever, the presence of the Epstein-Barr virus. For differential diagnosis, it is additionally recommended to donate blood for the level of immunoglobulins E, for antibodies to the Epstein-Barr virus and feces for worm eggs.
Monocytes and eosinophils increase during infectious processes. The most typical case in children and adults is mononucleosis. A similar picture can be with viral and fungal diseases, rickettsiosis, syphilis, tuberculosis, sarcoidosis.

In absolutely healthy people, the number of eosinophils in the blood is usually insignificant. The data of medical practice accumulated over the years show that there are special diseases in which an increase in eosinophils in an adult is possible, both in peripheral blood and in various other tissues.

The eosinophil was first identified by Wharton Jones in 1846, but it was not until 1879 that it was described as a single cell element (EO). The scientist Ehrlich Paul was the first to use the definition of eosin as an acidic dye, named after the ancient Greek goddess Eos (goddess of the morning Lightning). Eosin was used during the staining of histological tissues, as well as blood elements.

Large cells of white blood cells are components belonging to the "granular" subspecies of leukocytes, called eosinophils. The norm of content in the blood is the number of leukocytes from 4 to 9 thousand in one cubic millimeter, and eosinophils among them range from 1 to 5 percent. The main function of eosinophils is the regulation and protection against infections.

Eosinophils are classified as non-dividing granulocytes - these are leukocytes that are a continuously formed product of the bone marrow. The time of formation of eosinophils is 72-96 hours. These large immune cells are produced by the bone marrow and then left to enter the bloodstream and circulate for several hours (up to 12 hours) in the blood.

Such blood cells are designed to be responsible for the fight against foreign protein in the bodies of people.

The eosinophil has many receptors:

to immunoglobulins (IgG, IgE);
to complement;
to biologically active substances (to histamine).

These large blood bodies are capable of chemotaxis and phagocytosis. An eosinophil can act against a mast cell (a type of white blood cell, also known as a mast cell or mast cell) by reducing the amount of histamine it releases.

Functions of eosinophils in the body

An increase in eosinophils in an adult is associated with two important tasks of the immunity of the human body:

Regulate the inflammatory process. Under the action of eosinophil mediators, an inflammatory area appears, designed to isolate and control a foreign microorganism or harmful particle. But it happens that sometimes the focus of inflammation grows wider than required, which leads to the formation of damaged tissues, to the appearance of painful acute symptoms. Basically, formed elements play a major role in the controlling process of allergy manifestations, asthma symptoms, hay fever. It is they who delay the development of allergic and rheumatic factors, and do not allow the development of a total disease.

Norms of content in an adult in the blood

The normal number of cells of the white components of the blood of an adult varies from one to five percent of the total number of leukocytes. An increase in eosinophils in an adult is called eosinophilia. It can be insignificant (up to 10%), moderate (up to 20%), high (over 20%).

In the mature population, the value of 500 eoz / μl is considered the norm. in blood. Exceeding the level to the level of 5000 eos / μl for several months means the development of a hypereosinophilic syndrome in a patient.

Eosinophils and lymphocytes

Thanks to a general blood test, you can determine the presence of the following formed elements: hemoglobin, erythrocytes, reticulocytes, platelets, leukocytes. In addition, there is a division into subspecies of leukocytes with certain functions: basophils, lymphocytes, monocytes, eosinophils.

Leukocytes contain LYMP lymphocytes responsible for the formation of general local immunity, the norm of which is from 18 to 40%. With a viral infection, the number of lymphocytes will greatly increase. At their expense, humoral and cellular immunity is created, producing antibodies as a response to pathogens.

A high level is observed when taking a course of antibiotics or sulfonamides. Such indicators in children occur during scarlet fever, under the influence of the Epstein-Barr virus. Therefore, it is necessary to test the blood for immunoglobulin E, for antibodies to the Epstein-Barr virus and for helminthiasis.

Symptoms of elevated eosinophils in the blood of an adult

An elevated eosinophil threshold in an adult patient is reflected in the following symptoms of eosinophilia:

primary - are the main symptoms of severe diseases of the hematopoietic system;
secondary, or reactive, which arise as a result of diseases not entirely related to blood pathology;
unknown genesis.

As a rule, the excess in the blood of the norms of the content of the number of eosinophils is manifested by the following symptoms:

increased fatigue;
drowsiness;
apathy;
pallor;
severe headaches.

Non-pathological causes of the increase

Eosinophils may be elevated in an adult for the following non-pathological reasons:

blood disease(in particular, sickle cell anemia - an incorrect form of erythrocytes provokes an increase in their sedimentation rate, and will differ significantly from the indicators according to the standard);
having a heart attack or stroke(such cases of inflammation, when acute-phase proteins are adsorbed to the surface of blood cells, and reduce their electrical charge);
diseases associated with impaired metabolism(for diabetes, cystic fibrosis, obesity);
bronchial asthma;
liver disease and biliary tract problems.

The presence of pathological causes

Eosinophils are elevated in an adult in the following pathological cases:

The general clinical blood test reflects the percentage of blood leukocytes, as well as the quantitative level of eosinophils. A significant excess of them in the red fluid of the vessels is called eosinophilia.

Hematologists believe that eosinophilia occurs in three stages:

light- from 400 to 1500x10 ^ 9 per liter, when there are no more than 15% of blood white cells in the peripheral blood;
moderate, moderate- from 1500 to 5000x10^9 per sheet, in case of exceeding them from 15 to 20%;
severe, called great blood eosinophilia- more than 5000x10 ^ 9 per liter, when the number exceeds 20%, a condition usually combined with an increase in the total number of leukocytes.

In opposite cases, a drop in the leukocyte level of the blood means the presence of a viral infection in the body. The percentage of the content of various types of leukocytes is reflected in a special leukocyte formula.

Features of pulmonary eosinophilia in adults

Pulmonary eosinophilia is also called eosinophilic lung disease. It is described by various conditions that are characterized by opacities in the lungs on an x-ray or CT scan. This is due to eosinophilia of the lung tissues, as well as peripheral blood.

The diagnosis is established by at least one of the following signs:

infiltrates in the lung tissues, as well as eosinophilia is observed in the peripheral blood;
confirmation by open biopsy or bronchobiopsy of lung tissue eosinophilia;
bronchoalveolar lavage fluid contains an increased number of eosinophils.

Many drugs of various categories (leukotrienes inhibitors, GCs, phosphodiesterases of the fourth type, chemokine receptors, cromolyns, cyclosporins, antihistamines, monoclonal antibodies to IL5 (mepolizumab) and IL13 (lebrikizumab), interferon alpha) inhibit the activity of eosinophils or the harmful effects of their products.

Eosinophilia during pregnancy

During gestation, allergies can cause eosinophilia.

Patients may show the following symptoms:

red spots on the skin, hives;
stuffy nose;
the presence of a slight itching sensation;
flaky skin.

Excessive intake of a foreign protein into the blood causes one of the protective reactions in the body to work in the form of eosinophilia. With the development of hypoxia, the same condition can develop in case of a lack of magnesium in pregnant women.

A similar disease is also typical for expectant mothers who have received a dose of radiation, or for those who have various forms of congenital heart disease, or who have recently had scarlet fever. From this, a mixed group is also distinguished, which is made up of various other diseases that cause persistent eosinophilia.

Hepatosis of pregnant women, that is, a violation of cellular substances in the liver during pregnancy, can also provoke eosinophilia. A disease that is not cured in a timely manner can even lead to a terrible death of the fetus and the pregnant woman herself. The main goal of curing eosinophilia is to eliminate the causative agent of the disease directly.

A medical specialized course is conducted, which includes the following:

painkillers;
medicines to eliminate edema;
drugs that eliminate allergic reactions.

The diagram shows the main reasons for the increase in the level of eosinophils.

There are special cases when it is necessary to refuse the appointment of medicines during pregnancy.

Diagnostics

In practice, to refute or, conversely, to confirm the presence of the disease, sick people are required to take a blood test. Only its results can accurately represent whether the level of eosinophils is elevated. They also indicate the content of white cells in percentage terms, and there is a recognition of such signs of anemia as a smaller number of red blood cells, a sharp decrease in hemoglobin.

At the stage of diagnostic processes, the doctor scrupulously studies the patient's complaints, analyzes the anamnesis of the course of his illness. The preliminary diagnosis of the disease is established based on the results of blood tests, the results of a general examination. Often, some specialized research is also required.

The following additional tests are usually required:

In order to determine the disease that provoked eosinophilia, in addition, along with the collection of a clinical blood test, patients are also analyzed for biochemistry. Treatment is usually carried out by a hematologist. Such a disease is not considered an independent disease, but is only a pronounced symptom of another disease; therefore, it is necessary to treat its original cause.

First you need to determine for what reason the number of white blood cells has increased, and then carry out therapeutic measures, including the appointment of medications with physiotherapy. The choice of different methods of treatment is carried out, focusing on the actual physical condition of the patient, on the nature of his illness, on his age, health, and other concomitant diseases.

It happens that for a cure, on the contrary, it is necessary to stop taking medications.

If rheumatoid arthritis is suspected, a bronchoscopy will be needed. Often the attending physician prescribes a specialized treatment course, which includes: painkillers, drugs to reduce swelling, drugs that eliminate a pronounced allergic reaction.

The main direction of healing lies in the elimination of the pathogen itself - the source of the disease. The course may have a different duration, depending on the results, it will be regularly adjusted, or even completely changed.

Along with drug therapy, physiotherapy and herbal medicine are often used in treatment. In addition, a specialized diet may be prescribed by a doctor.

It is necessary to carry out periodic monitoring of blood tests in the clinic in order to prevent an increase in the level of eosinophils in an adult. Always such an increase means the presence of a serious illness. When there are other additional signs, it is necessary to consult a doctor. The process of eosinophilia itself cannot be overcome; only the disease that provoked it can be cured.

Video about elevated eosinophils in adults, causes and main symptoms

Specialist about blood test for eosinophils:

A simple description of eosinophils:

Eosinophils are one of the groups of leukocytes (white blood cells). They belong to the neutrophilic series, but differ from neutrophils in certain features. They are slightly larger. Their nuclei contain the smallest number of parts (usually 2-3).

Under a microscope in the cytoplasm of these cells, a corresponding abundant orange-pink granularity is visible. It consists of a huge number of homogeneous granules. When a blood test is done, eosinophils are counted in a smear under a microscope or determined on a hematology analyzer.

This is due to the fact that eosinophils are cells that instantly respond to the above problems, and together with basophils, they can be attributed to direct markers for hypersensitivity reactions in the body.

The role of eosinophils in the body

The functions of eosinophils are varied, some of them very similar to those of other white blood cells. They are involved in numerous inflammatory processes, especially those associated with allergic reactions. In addition, eosinophils have specific physiological roles in organ formation (eg, breast development after childbirth).

Eosinophils in the blood can have not only a positive effect, but also a negative one. They prevent potentially dangerous microorganisms from entering the human body, but there are times when they are associated with pathological changes. A prime example is Loeffler's disease.

Norm

In adults, the norm of eosinophils in the blood is 0.4x109 / l, the norm in children is slightly higher (up to 0.7x109 / l). However, relative to the content of other immune cells, the normal number of eosinophils in adults and children ranges from 1-5%.

Elevated eosinophils in the blood and other body fluids can be due to many factors.

Causes of an increase in eosinophils in the blood

Why are eosinophils elevated in an adult, what does this mean? Eosinophils above normal cause a special condition of the body, which is called eosinophilia. There are various degrees of this disease:

Light - cell count reaches 10%
Medium - 10 to 15% eosinophils
Severe form - more than 15 percent. This degree of the disease can be expressed by oxygen starvation at the cellular or tissue level.

In medical practice, there is the most common and easy-to-remember abbreviation, which makes it quite easy to remember the most famous causes of eosinophilia.

In more rare cases, other diseases become the cause of an increase in eosinophils:

Acute leukemia.
hereditary eosinophilia.
Rheumatic fever ().
Exudative reactions of various origins.
Vagotonia (irritation of the vagus nerve),.
Decrease in the functional abilities of the thyroid gland ().

You need to know that these cells do not always benefit the body. Fighting an infection, they can provoke an allergy themselves. When the number of eosinophils exceeds 5% of the total number of leukocytes, not only eosinophilia is formed. In the place of accumulation of these cells, inflammatory tissue changes are formed. According to this principle, often in children and swelling of the larynx.

Physiological causes

The highest rates of these cells can be observed only at night, when a person is sleeping, and during the day, respectively, the lowest.
The analysis reveals variations in the number of cells in women throughout the menstrual cycle: in the initial stages, their number increases, after ovulation it gradually decreases;
Treatment with certain drugs can affect the indicator: tuberculosis drugs, penicillins, aspirin, diphenhydramine, sulfanilamide and gold preparations, vitamin B complexes, chymotrypsin, imipramine, miscleron, papaverine, eufillin, beta-blockers, chlorpropamide, hormonal drugs, etc. d;
Eating regimen: sweets or alcohol increase the likelihood that the analysis will be incorrect.

For the first time, elevated eosinophils detected in a blood test require a re-examination and study of changes in their number over time (several consecutive analyzes).

Elevated eosinophils in a child

Depending on the age of the child, the following factors may be the cause of the excess of the cell count:

In newborns, a high rate of eosinophils can be caused by Rh conflict, staphylococcus aureus, hemolytic disease, dermatitis, and allergic reactions to medications or food.
At the age of one and a half to three years, high levels of eosinophils can be caused by allergies to drugs and.
In children older than three years, eosinophils increase in the presence of or during an exacerbation of skin allergies, and with helminthiasis. Also, an increase in eosinophils in a child can cause malignant tumors.

Elevated eosinophils in the blood is not an independent disease, all efforts should be directed to finding the main cause of their increase and, if possible, to eliminate it.

What to do?

If a general blood test showed that eosinophils have increased, it is necessary to additionally pass a biochemical blood test, so you can find out about the disease that led to the increase. Be sure to pay attention to the protein level of enzymes that are located in the liver, etc. Additionally, you need to take a urine test, feces, to find out if there are worms or their egg deposits.

Treat eosinophilia with a hematologist, but remember, this is not a disease on its own, but only one with symptoms of a disease. It is necessary to determine the disease due to which the eosinophils have increased, then an effective treatment regimen, the necessary medications and physiotherapy procedures will be prescribed.