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Basophils: what this small blood value does and does not say

As one of the five types of white blood cell, basophils take part in allergic reactions, in which they release substances such as histamine.

With inflammatory conditions, allergic conditions or chronic myeloid leukaemia, a form of blood cancer, your count can rise, and after corticosteroids are given it can fall. You only see your count in a blood test.

The range at Star-SHL runs from 0.0 to 0.15 × 10^9/l, and Unilabs (from age 15), Certe (adults) and Diagnostiek voor U use 0.2 × 10^9/l as the upper limit. When you compare two measurements, allow for the measurement variation UMC Utrecht reports for its own analyser: 22 percent at 0.15 × 10^9/l and 31 percent at 0.03 × 10^9/l.

Doctor's Assessment Included

Basophils are one of the five types of white blood cell, normally 0 to 2 percent of the total according to the NVKC. The upper limit for adults is 0.15 × 10^9/l at Star-SHL and 0.2 × 10^9/l at Unilabs, Certe and Diagnostiek voor U.

  • Basophils take part in allergic reactions and, according to the NVKC, occur mainly in tissues where those take place, such as skin, nose and lungs; their number in the bloodstream therefore says little about those allergic reactions.
  • A raised basophil count can occur with allergic and inflammatory conditions and with some forms of leukaemia.
  • For adults, a low basophil count falls within the range at Star-SHL, Unilabs, Certe and Diagnostiek voor U, because their lower limit is zero or absent.

Reference Ranges

See the value that applies to you:

Choose male or female — this range differs by sex.

Enter your age — this range changes with age.

This range also depends on context such as cycle phase or sample material; the highlighted rows apply to your group.

Male Your group
10^9/l
Low 0 Normal 0.2 High
Female Your group
10^9/l
Low 0 Normal 0.2 High

Source: NVKC — Nederlandse Vereniging voor Klinische Chemie en Laboratoriumgeneeskunde Reference population: Adults (NVKC)

Reference ranges may vary between laboratories. When you order a test, a BIG-registered doctor assesses your personal results in context. For treatment decisions, discuss your results with your GP.

Check your own value

Basophils: what Dutch laboratories use

Reference ranges by group, in 10^9/l
Star-shl · Everyone 0.00–0.15 10^9/l
0 0.15
Unilabs · Everyone · 15 years and older · a limit, not a range < 0.2 10^9/l
0.2
Certe · Male · 18 years and older 0.0–0.2 10*9/L
0 0.2
Certe · Female · 18 years and older 0.0–0.2 10*9/L
0 0.2
Diagnostiek voor U · Everyone · a limit, not a range < 0.2 /nL
0.2
0 0.22 10^9/l

Source: Star-shl

Source: Unilabs

Source: Certe

Source: Diagnostiek voor U

Each value as the laboratory itself publishes it, retrieved in 2026.

Basophils: what this test measures

Basophils are counted as billions per litre (× 10^9/l) in the white cell differential, the split of the white blood cells over five types.

On UMC Utrecht's own analyser, the variation of a basophil count from one measurement to the next is 22 percent at 0.15 × 10^9/l and 28.8 percent at 0.06 × 10^9/l.

Basophils: why this value matters

According to a review, a raised basophil count is one of the diagnostic criteria for chronic myeloid leukaemia, a form of blood cancer. According to a US review, the count can also be raised with inflammatory conditions. After exposure to toxic substances or after radiation, your basophil count can also come out higher, according to the NVKC.

Basophils: how the blood test works

Referral
No GP referral needed. After the order we arrange the referral through ZorgDomein, within one business day; orders after 17:00 or at the weekend start on the next business day. ZorgDomein emails a barcode, and that barcode is what the draw site needs.
The draw
A blood draw from a vein in the arm, at a partner laboratory's draw site. No home kit, no finger prick.
Where
650+ draw sites run by independent laboratories across the Netherlands. Draw sites

Basophils: when is testing worthwhile?

According to the NVKC, counting basophils always happens as part of a full blood test.

Basophils: symptoms of a high or low value

Low Levels

A low basophil value, 0.0 × 10^9/l included, falls within the adult range: Star-SHL and Certe count from zero, and Unilabs and Diagnostiek voor U set no lower limit. At low counts UMC Utrecht reports a variation of 31 percent at 0.03 × 10^9/l for its own analyser. According to a review, corticosteroids, when given, can also lower the basophil count.

High Levels

Discuss a raised basophil count with a doctor, who can check whether an inflammatory condition, an allergic condition or a bone marrow disease such as chronic myeloid leukaemia plays a part.

Basophils: causes of a low or high value

What lowers the value

  • Corticosteroids

    A fall in the basophil count is consistently observed after corticosteroids are given.

  • Active chronic hives

    In chronic hives the basophil count is reduced during active phases and recovers when the hives are under control.

  • Active lupus (SLE)

    In active lupus (SLE), an autoimmune disease, a low basophil count is a hallmark according to a review.

What raises the value

  • Allergy

    According to a US review, a raised basophil count can occur with allergic conditions, although a rise without other abnormalities is rare.

  • Inflammatory conditions

    According to a US review, the basophil count can be raised with inflammatory conditions, although an isolated rise is rare.

  • Leukaemia

    According to the NVKC, a raised basophil count can result from some forms of leukaemia, such as chronic and acute myeloid leukaemia, often together with more eosinophils.

  • Toxic substances

    According to the NVKC, the number of basophils in the blood can be raised after exposure to toxic substances.

  • Radiation

    According to the NVKC, the number of basophils in the blood can be raised after exposure to radiation.

Basophils: lifestyle and this value

When comparing two basophil values, the measurement variation UMC Utrecht reports for its own analyser helps: 22 percent at 0.15 × 10^9/l and 31 percent at 0.03 × 10^9/l.

Basophils: frequently asked questions

How large is the measurement variation at a low basophil count?

At a low basophil count, the measurement variation on UMC Utrecht's own analyser is 31 percent at 0.03 × 10^9/l, against 22 percent at 0.15 × 10^9/l.

Is a basophil count of zero normal?

Yes, for adults a basophil count of zero falls within the range at all four laboratories: Star-SHL and Certe start at zero, and Unilabs and Diagnostiek voor U give no lower limit. The upper limit is 0.15 × 10^9/l at Star-SHL and 0.2 × 10^9/l at Unilabs (from age 15), Certe (adults) and Diagnostiek voor U.

Which blood value is raised in leukaemia?

In leukaemia no single blood value points to the disease: according to the NVKC, the basophil count can be raised among others, often together with more eosinophils. In chronic myeloid leukaemia a raised basophil count is one of the criteria for the diagnosis.

Basophils: sources

  1. Nederlandse Vereniging voor Klinische Chemie en Laboratoriumgeneeskunde. Basofiele granulocyten. "Normaal bedraagt het percentage basofiele granulocyten slechts 0% -2% van het totaal aantal witte bloedcellen. Dit komt overeen met een hoeveelheid van 0 - 0,2x10ˆ9 cellen per liter." De bron maakt geen onderscheid tussen mannen en vrouwen en geeft geen leeftijdsindeling. Geraadpleegd 14 augustus 2026. (retrieved 2026) allesovertesten.nl
  2. Star-shl, Labbepalingen (referentiewaarden per bepaling), star-shl.nl, geraadpleegd 2026-10-01 (retrieved 2026) star-shl.nl
  3. Certe, Bepalingenwijzer (referentiewaarden per bepaling), bepalingenwijzer.certe.nl, geraadpleegd 2026-10-01 (retrieved 2026) bepalingenwijzer.certe.nl
  4. Diagnostiek voor U, eLabgids (Referentiewaarden DvU), diagnostiek.getincontrol.eu, geraadpleegd 2026-10-01 (retrieved 2026) diagnostiek.getincontrol.eu
  5. Unilabs, Bepalingenklapper (referentiewaarden per bepaling), bepalingenklapper.nl, geraadpleegd 2026-10-01 (retrieved 2026) bepalingenklapper.nl
  6. Shah H, Eisenbarth S, Tormey CA, Siddon AJ. Behind the scenes with basophils: an emerging therapeutic target. Immunother Adv 2021;1(1):ltab008 (retrieved 2026) pmc.ncbi.nlm.nih.gov
  7. Riley LK, Rupert J. Evaluation of Patients with Leukocytosis. Am Fam Physician 2015;92(11):1004-1011 (retrieved 2026) aafp.org
  8. NVKC, Alles over testen: Basofiele granulocyten, allesovertesten.nl, geraadpleegd 2026-10-07 (retrieved 2026) allesovertesten.nl

Tests with related values

These panels measure values from the same category as this marker.

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