Neutrophils (PMN) from 20 patients with atopic disease (atopy), the pa
rents of 8 of the patients and 10 normal controls were studied by ligh
t-microscopic cytochemistry. The results revealed that myeloperoxidase
(MPO) and acid phosphatase (ACP) activities in PMN in all cases signi
ficantly decreased and alkaline phosphatase activity was normal. Paren
ts or parent of 7 of those patients had PMN enzyme deficiency similar
to that of the patients. The results indicated that a primary combined
and partial deficiency of MPO and ACP in PMN azurophilic granule exis
ted in atopy. It is postulated that the deficiency led to reduction of
PMN bactericidal power and delay of bactericidal action. Foreign bodi
es which were partially degraded could possess antigenic property. Thi
s is believed to be the important cytobiological mechanism of the tend
ency toward infections and formation of sensitive antigen in atopy.