AEC (Absolute Eosinophil Count)
Alternative Names
Eosinophils; Absolute eosinophil count
Eosinophils are white blood cells of the body which play an important role in protecting the immunity of the body. They are stored in the bone marrow and can survive up to few weeks. An absolute eosinophil count is a blood test that measures the number of one type of white blood cells called eosinophils. Eosinophils become active when you have certain allergic diseases, infections, and other medical conditions. The measure of the total quantity of eosinophil in the blood is called as total eosinophil count. The increase in eosinophils is called as eosinophilia and happens in certain disease conditions.
Principle
Blood is diluted with a special diluting fluid, which removes red cells and stains the eosinophils red. These cells are then counted under low power (10X) in a known volume of fluid by using Neubauer counting chamber.
Requirements
1 Microscope
2 Improved Neubauer Chamber or Fuch-Rosenthal counting chamber
3 Diluting fluid: (Hingleman's solution): it is prepared as follows:
a) Yellow eosin : 0.5 g
b) 95% phenol : 0.5 ml
c) Formalin : 0.5 ml
d) Distilled water : 99 ml
Normal range : 40-440/cu mm (μl
Specimen: EDTA or heparinized blood
Procedure
Pipette 0.36 ml of diluting fluid in a test tube.
Add 0.04 ml of blood (use Hb pipette, twice).
Mix and keep for 10 minutes.
Mix the diluent and charge the counting chamber,
Let it stand under a moist petri dish for about 2 to 3 minutes.
Count the cells (eosinophils) under low power objective lens with reduced light.
- If improved Neubauer counting chamber is used, count cells in all nine squares (In the case of total leucocyte count only four squares at the corner are used).
Calculations
Total number of eosinophils, cu mm (µl)
= Number of cells counted × 10
_______________________________
0.9
Note:
a) Dilution = 10
b) Volume of fluid = area counted x depth
= 9 sq. mm x 0.1
= 0.9
Clinical Significance
Increased eosinophil count is often associated with allergic reactions, parasitic infections, brucellosis and in certain leukemias. Increase in the adrenal function (hyperadrenalism or Cushing's syndrome) is associated with a fall in eosinophil count.
https://labpedia.net/eosinophil-count-absolute-eosinophil-count/
https://www.myupchar.com/en/test/absolute-eosinophil-count-test
http://biolabdiagnostics.com/image/catalog/pdf/EOSINOPHIL%20Fluid%20KI.pdf
https://www.lybrate.com/lab-test/absolute-eosinophil-count
https://labmonk.com/determination-eosinophil-count
https://www.medikaynak.com/en/medicalculation/absolute-eosinophil-count-calculator
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