(en) A 60‐year‐old male suffering from hypertension and a treated myelodysplastic syndrome (MDS‐EB2) by an allograft 3 years before the current presentation was presented with a deteriorating general condition and asthenia. A blood work‐up was done where hypereosinophilia (24 × 103/μl) was incidentally found, hardly attributable to a postallogeneic peripheral blood stem cell transplantation [2].The patient was then referred to our hematology department for further investigation. Upon admission, a myelogram revealed 7% of mastocytes, often in aggregates, some showing atypical forms (hypogranulation, spindle‐shape, and hypersegmentation of nucleus), and 51% of eosinophilic lineage. Flow cytometry (FC) showed 7% of mast cells with CD2 and CD25 aberrant expression. [...]