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Eosinophil count (qualitative manual differential blood smear)

Published: August 9, 2026Updated: August 16, 2026

This test checks the number of eosinophils—a type of white blood cell—in your blood using a manual microscopic examination. Eosinophils help fight certain infections and allergic reactions.

Quick summary

["Eosinophil counts help diagnose or monitor conditions affecting immune response or allergies."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
68401-9
Short code
Eosinophil # Snv Manual
Synonyms
Eosinophil # Snv Manual
Category
chemistry
Sample
fluid
Container
Sterile tube
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
manual-count
Specimen volume
2-5 mL
Stability
Room temperature: 2h, Refrigerated: 24h
Hemolysis max
300
TAT
4–24 hours
Order
routine

What Is an Eosinophil?

Eosinophils are a type of white blood cell that play a role in defending the body against parasites, allergies, and some chronic inflammatory conditions. They release chemicals that help control immune responses, including those triggered by allergens or infections.

Why Might This Test Be Ordered?

Your doctor may order this test if you have symptoms like persistent itching, skin rashes, asthma, or unexplained allergic reactions. It can also help evaluate conditions such as parasitic infections, certain cancers (like Hodgkin lymphoma), or autoimmune disorders.

How Is the Test Performed?

A small blood sample is drawn from your arm. The sample is then spread thinly on a microscope slide and examined under a high-powered microscope by a trained lab technician. The technician counts and identifies eosinophils among other white blood cells.

What Do Results Mean?

Results are reported as a qualitative assessment (high, normal, or low eosinophil count) rather than a specific numeric value. High eosinophil counts may indicate allergic reactions, parasitic infections, or certain inflammatory diseases. Low counts may suggest immune suppression or other underlying conditions.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Elevated eosinophils often signal allergic or parasitic conditions, asthma, or certain autoimmune diseases. Low eosinophils may occur with infections that suppress white blood cell production or chronic illnesses like HIV. This test is a key diagnostic tool for guiding treatment decisions.

Short name

Eosinophil count (qualitative)

Frequently asked questions

When could I expect to get results?
Results are typically available within 24 to 48 hours, depending on lab processing times. Your doctor will contact you once they are ready.
What does a high eosinophil count mean?
A high eosinophil count may suggest allergies, asthma, parasitic infections, or certain autoimmune disorders. Your doctor will discuss symptoms and other test results to determine the cause.
Can I eat or drink before this test?
No special preparation is needed for this test. However, follow any general fasting instructions your doctor may provide for other blood tests.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy