Absolute Eosinophil Count
AEC measures the actual number of eosinophils per microliter of blood. It helps diagnose allergies, monitor asthma, detect parasitic infections, and identify eosinophilic disorders.
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Normal: 40-450 cells/μL Mild eosinophilia: 450-1,500 Hypereosinophilia: >5,000
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Why: AEC is more accurate than percentage when WBC is abnormal. It guides allergy workup, parasite screening, and eosinophilic disorder evaluation.
How: AEC = WBC × (eosinophil % ÷ 100). Normal: 40-450 cells/μL. Hypereosinophilia (>5,000) requires urgent evaluation.
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🤧 Allergic Rhinitis Patient
Young adult with seasonal allergies and mild eosinophilia
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🦠 Parasitic Infection Case
Traveler returned from endemic area with GI symptoms and marked eosinophilia
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🍽️ Eosinophilic Esophagitis
Patient with dysphagia and food impaction, moderate eosinophilia
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⚠️ Hypereosinophilic Syndrome
Patient with persistent severe eosinophilia and multi-organ involvement
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💊 Steroid-Suppressed Patient
Patient on chronic corticosteroids with suppressed eosinophil count
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Sample Clinical Scenarios
🤧 Allergic Rhinitis Patient
Young adult with seasonal allergies and mild eosinophilia
Click to use this example
🦠 Parasitic Infection Case
Traveler returned from endemic area with GI symptoms and marked eosinophilia
Click to use this example
🍽️ Eosinophilic Esophagitis
Patient with dysphagia and food impaction, moderate eosinophilia
Click to use this example
⚠️ Hypereosinophilic Syndrome
Patient with persistent severe eosinophilia and multi-organ involvement
Click to use this example
💊 Steroid-Suppressed Patient
Patient on chronic corticosteroids with suppressed eosinophil count
Click to use this example
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For informational purposes only — not medical advice. Consult a healthcare professional before acting on results.
🏥 Health Facts
AEC = WBC × (eos % ÷ 100)
— CBC
Normal: 40-450 cells/μL
— Lab reference
What is Absolute Eosinophil Count (AEC)?
The Absolute Eosinophil Count (AEC) measures the actual number of eosinophils in the blood per microliter. Eosinophils are a type of white blood cell involved in allergic reactions, parasitic infections, and inflammatory conditions. Unlike the eosinophil percentage, the AEC provides a more accurate assessment of eosinophil levels, especially when the total white blood cell count is abnormal.
Eosinophil Function
Eosinophils combat parasites, modulate allergic responses, and participate in tissue remodeling and inflammation.
Key Functions:
- Parasite destruction
- Allergic response modulation
- Tissue repair
Normal Ranges
Normal AEC ranges from 40-450 cells/μL in healthy adults, representing 1-4% of total white blood cells.
Reference Values:
- Normal: 40-450 cells/μL
- Percentage: 1-4% of WBC
- Varies slightly by lab
Why AEC Matters
AEC is essential for diagnosing allergies, monitoring asthma, detecting parasitic infections, and identifying eosinophilic disorders.
Clinical Uses:
- Allergy diagnosis
- Asthma monitoring
- Parasite detection
How to Calculate AEC
The Absolute Eosinophil Count is calculated from a Complete Blood Count (CBC) with differential by multiplying the total white blood cell count by the eosinophil percentage.
Calculation Method
AEC Formula
Example: WBC 9,000 × 5% ÷ 100 = 450 cells/μL
When to Check AEC
Allergic Conditions
Allergic rhinitis, asthma, eczema, and food allergies often elevate eosinophils.
Parasitic Infections
Tissue-invasive parasites like helminths cause marked eosinophilia.
Eosinophilic GI Disorders
EoE and other eosinophilic GI conditions require AEC monitoring.
AEC Classification
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