A D E F B C G K L I I J H F I G U R E 1 A, Capillary tubes filled with blood containing added saline and no mast cells (MC neg ) vs blood mixed with a suspension of mast cells (MC pos ). B, The packed cell volume (≈35%) and height of the buffy coat were similar in both tubes. C, Mast cell (arrow) in MC pos sample found at the feathered edge of the smear. The mast cells were larger or a similar size compared with neutrophils, and had granules (Hemacolor, Merck, bar = 15 µm). D, The buffy coat cell tube block containing MC neg blood shows the granulocyte and mononuclear layers (bracket), with lymphocyte and monocyte layer (arrowhead), and the platelets (asterisk) at the upper position, H&E stain, bar = 300 µm. E, The MC pos blood shows that the granulocyte and mononuclear layers were increased compared with the MC neg sample, and some mast cells appeared in the platelet column (asterisk), H&E stain, bar = 300 µm. Many mast cells (arrows) appeared in the granulocyte layer (detailed in F), H&E stain, bar = 30 µm. Histograms of MC neg (G) and MC pos (H) blood from an impedance analyzer show a few of the parameters [total number of leukocytes (#WBC), the percentage of granulocytes (%Gran), lymphocytes (%Lymph), and monocytes (%Mon), with reference intervals (RI)]. In the MC pos blood (H), the histogram changed at the region of smaller and larger cells (red line represents MC neg ). The peroxidase scattergram of MC neg (I) and MC pos (J) blood from a flow cytometric analyzer (Advia 2120). The increased number of green dots in the MC pos compared with the MC neg samples was interpreted as monocytes. The increased light blue dots in the MC pos compared with the MC neg samples were interpreted as large unstained cells (LUCs; J, block arrow), and an increased and abnormal basophil percentage (%Bas) in the MC pos compared with the MC neg samples was also reported. Differential scattergram of MC neg (K) and MC pos (L) blood obtained with another flow cytometric analyzer (Sysmex XT-2000iV). The light blue dots (white asterisk in L) interpreted by the analyzer as neutrophils and basophils were increased in the MC pos compared with the MC neg samples. These dots likely indicate the presence of the mast cells