Review Article

Eosinophils from Physiology to Disease: A Comprehensive Review

Table 2

Clonal disorders with primary eosinophilia.

Disease Most common associated mutations/rearrangementsDiagnostic features

Myeloid/lymphoid neoplasms with eosinophilia and abnormalities of PDGFRA, PDFRB, FGFR1, or PMC1-JAK2.Involvement of:
(i) 4q12 (platelet-derived growth factor receptor alfa)
(ii) 5q31–q33 (platelet-derived growth factor receptor beta)
(iii) 8p11-12 (fibroblast growth factor receptor 1)
(iv) 9p24 (Janus kinase 2)
Eosinophilia and  positive FISH or molecular screening in PDGFRA, PDGFRB, FGFR1, PMC1-JAK2

Chronic myeloid leukaemia (CML) BCR-ABL+t(9;22)(q34.1;q11.2)
(B cell receptor–Abelson)
BCR-ABL positive at molecular screening, t(9;22) in cytogenetic analysis

Systemic mastocytosis (SM)(KIT D816V mutation)Mast cells increased in marrow aspirate and biopsy, KIT mutation, tryptase increased

Chronic eosinophilic leukaemia not otherwise specified
(CEL, NOS)
Possible involvement of TET2, ASXL1, IDH2, JAK2, SETBP1, SF3B1, EXH2, CBLEosinophilia and  non-specific clonal or molecular abnormalities and/or increased marrow blasts

Acute myeloid leukaemia with inv(16)Inv(16)(p13.1,1q22) or t(16;16)(p13.1;q22)>20% myeloblasts on marrow aspirate/biopsy and  positive cytogenetic/FISH analysis

Lymphocyte-variant hypereosinophilia (L-HES)T cell receptor clonalityAbnormal T-cell immunophenotype and/or  demonstration of clonal TCR rearrangement by molecular biology