Pigments, Minerals &Cytoplasmic Granules Flashcards
Pigments
Visible substances in tissue found either naturally or as a result of a disease process
Pigments may be:
Artifacts
Exogenous
Endogenous
Artifact pigments
Produced by a chemical reaction with a tissue component
Most common are those caused by fixation
Acid hematin
Mercury pigment
Chrome pigment
mercury pigment
Caused by mercury containing fixatives
Must be removed with iodine
Iodine is removed with hypo (sodium thiosulfate)
Mercury containing fixatives include B5,Zenker & Helly
Mercury pigment cannot be prevented
Chromate Pigment
Easily prevented, wash tissues after fixation
Most authors feel it cannot be removed but some say acid alcohol will remove it
Examples of fixatives: Zenker, Helly, Orth
Formalin Pigment
One of three acid hematins ( other 2) :
Malarial pigment
Hydrochloric acid pigment
Characteristics: Birefringent Microcrystalline, dark brown No iron reaction prevented by buffering in neutral pH Dissolved with alcoholic picric acid or Alcoholic alkalis *
Exogenous Pigments
**Most common is carbon, a black substance resistant to bleaching and extraction with sulfuric acid – anthracotic pigment
Asbestos- birefringent fibers which become coated with iron containing protein & known as asbestos bodies. Asbestos bodies stain with Prussian Blue
- look like dumbells
Exogenous substances
Tattoo pigments are found in skin & occasionally in proximal lymph nodes
Minerals are not pigmented but some may enter the body & lead to disease
Examples: silica, lead, beryllium, aluminum, silver (fillings, piercing) See your notes
Endogenous Pigments
Hematogenous ( comes from blood) :
- Hemoglobin
- Hemosiderin
- Bile
Non-hematogenous ( doesn’t come from blood) :
- Lipofuscin ( wear & tear ) - looks the same as bile so need to differentiate bc liposfusion is harmless but bile is bad
- Melanin( skin, hair, eye color)
All of these pigments appear as yellow to brown
Hemoglobin
endogenous hematogenous
Hemoglobin, normally confined to RBCs may be found in areas of hemorrhage or hemolysis
Stains with Leuco Patent Blue
Not performed regularly
hemosiderin
endogenous hematogenous
Iron stores in the body consist of hemosiderin
Increased in disease:
Hemachromatosis, Hemolytic anemia
Stained with Prussian blue
bile pigment
endogenous hematogenous
Bile Pigment (bilirubin) may accumulate in liver when there is an obstruction
Staining involves converting bilirubin to biliverdin using trichloracetic acid in fouchet’s reagent
The green of biliverdin exhibits the bile pigments
bilirubin–(trichloracetic acid in fouchets reagent)–>bilirverdin(green)
lipofuscin
endogenous- non hematogenous- lipidic
Lipofuscin- “wear & tear” pigment ( harmless)
Found in heart, liver, & neurons of older persons
Stains with oil-red-o & sudan black ( bc of these are lipid stains) & PAS
Negative with bile stain
Ceroid
endogenous - non- hematogenous lipidic
Ceroid is rarely seen in humans
Stains with oil-red-0, sudan black, PAS but also is acid-fast
Melanin
endogenous non- hematogenous non- lipidic
Melanin is derived from tyrosine
A brown-black pigment
Normal in skin, hair, retina, iris & parts of CNS
Normal melanin may obscure the view of other tissue components
Melanin is removed by:
Peroxide (bleaching)
Strong alkali
Melanin is not removed by:
Weak acids or bases
Organic solvents
- looks like carbon but carbon isnt removed with bleaching & is removed w/sulfuric acid
( dont need to know) Melanin synthesis involves the formation of dopa (3,4 dihydroxyphenylalanine)- as an intermediary step. This can be used to identify melanocytes histochemically
melanin - turnbull reaction
The solubility of melanin can be used for identification
Melanin is strongly basophilic and reduces silver nitrate to metallic silver (argentaffin)
Gives a positive Schmorl reaction bc its argentaffin
Complexes with *ferrous iron which may be demonstrated by the *Turnbull reaction
- ferric is most common form of iron in the body not ferrous