Henry Ford Hospital Medical Journal


The presence of giant organelles in the cytoplasm of peripheral blood elements is diagnostic for the Chediak-Higashi syndrome. These abnormal cytoplasmic inclusions are found within neutrophils, eosinophils, basophils, lymphocytes, monocytes, and platelets. Their fine structural characteristics differ. Neutrophils demonstrate striking variability in the size, shape, and internal features of their giant organelles. Lymphocytes contain two different types of giant inclusions, one with a smoothly homogeneous substructure, the other with structures resembling microtubules. Emphasizing the ultrastructural similarities and differences of these anomalous granulations may provide valuable clues for understanding the basic defect of this inherited disorder.