Staining of Pigments Flashcards

1
Q

What are pigments?

A

Any of the various colouring agents deposited as cytoplasmic inclusions or granules within tissues and cells

Pigments can be coloured, thus not always requiring staining with biological dyes

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2
Q

How are pigments classified?

A

Three Groups:
* Artifact
* Endogenous
* Exogenous

Each group has distinct origins and characteristics

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3
Q

What are artifact pigments?

A

Produced during tissue processing, commonly from fixation

Usually lie on top of tissue, with exceptions like formalin pigment

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4
Q

Name examples of artifact pigments.

A
  • Formalin pigment
  • Mercury pigment
  • Chrome pigment

Formalin pigment is an acid hematin and birefringent

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5
Q

What are hematogenous pigments?

A

Derived from blood, includes:
* Hemoglobin
* Hemosiderin
* Bile pigments

Hemoglobin breaks down into heme and globin

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6
Q

What is the Prussian Blue reaction used for?

A

Detection of ferric (Fe3+) iron in tissues

Forms a bright blue pigment called Prussian Blue when Fe3+ reacts with ferrocyanide

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7
Q

What is the significance of melanin?

A

A brown-black pigment derived from tyrosine, present in skin, hair, and certain parts of the CNS

Variations in melanin amount contribute to differences in color among individuals

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8
Q

Which minerals can be demonstrated with special stains?

A
  • Calcium (Ca2+)
  • Ferrous/Ferric (Fe2+/Fe3+)
  • Cupric (Cu2+)
  • Phosphate (PO4^3-)
  • Carbonate (CO3^2-)

Some metallic elements like silver, lead, and copper can be deposited pathologically

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9
Q

What is the appearance of carbon as an exogenous pigment?

A

A black pigment that resists bleaching and extraction procedures

Insoluble in concentrated sulfuric acid

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10
Q

True or False: Formalin pigment can be removed using saturated alcoholic picric acid.

A

True

This is done before staining to prevent interference

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11
Q

Fill in the blank: Hemosiderin is a _______ form of ferric iron.

A

storage

It is usually found in small amounts in specific organs

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12
Q

What condition is characterized by excess iron storage due to defects in iron absorption?

A

Hemochromatosis

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13
Q

What type of fixative should be used when demonstrating hemosiderin?

A

Buffered neutral formalin

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14
Q

What reagent is used in Perl’s Prussian Blue Technique?

A

A solution of equal parts HCl and potassium ferrocyanide

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15
Q

What is the purpose of the Turnbull Blue Stain?

A

The detection of ferrous (Fe2+) iron in tissues

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16
Q

What is the fixative used for the Turnbull Blue Stain?

A

Alcohol or 10% NBF

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17
Q

What color indicates the presence of ferrous iron in Turnbull Blue Stain results?

A

Blue

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18
Q

What technique is primarily used for the demonstration of melanin?

A

Masson-Fontana technique

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19
Q

What is the fixative used in the Masson-Fontana technique?

20
Q

What is the result of the Masson-Fontana technique for melanin?

A

Melanin and argentaffin granules appear black, nuclei appear pink

21
Q

What is used to differentiate between melanin and argentaffin granules?

A

Melanin Bleaching

22
Q

What are some strong oxidizing agents that can bleach melanin?

A
  • KMnO4
  • H2O2 (hydrogen peroxide)
23
Q

What is the purpose of the Mallory Bleach Technique?

A

To distinguish between melanin and argentaffin granules

24
Q

What is the result of the Mallory Bleach Technique after washing in running tap water?

A

Removes KMnO4

25
Q

What is the most useful bleaching agent mentioned?

A

KMnO4

Followed by 1% oxalic acid.

26
Q

What does KMnO4 do in the Mallory bleach technique?

A

Oxidizes melanin.

27
Q

What is the interpretation of a Masson-Fontana stain on a bleached slide?

A

No granules seen for melanin, golden brown granules seen for argentaffin granules.

28
Q

What condition can cause the deposit of urate crystals?

29
Q

What fixative is required for the Gomori Methenamine Silver Method?

A

Absolute alcohol.

30
Q

What is the main principle of the Gomori Methenamine Silver Method?

A

Urates are stained black by reacting with silver, which is then reduced to its metallic form.

31
Q

What are the reagents used in the Gomori Methenamine Silver Method?

A
  • Silver nitrate, 5%
  • Methenamine solution, 3%
  • Sodium borate, 5%
  • Sodium thiosulphate solution, 3%
  • Light green solution.
32
Q

What color do urates stain in the Gomori Methenamine Silver Method?

33
Q

What is the background color in the Gomori Methenamine Silver Method?

34
Q

What is hydroxyapatite?

A

A calcium phosphate salt and the main mineral component of bone and teeth.

35
Q

What are the two main methods used for calcium demonstration?

A
  • Von Kossa
  • Alizarin Red S.
36
Q

What is the principle behind the Von Kossa Technique?

A

The method depends on the replacement of calcium by silver, which is then reduced to metal form.

37
Q

What type of fixative is preferred for the Von Kossa Technique?

38
Q

What is the result of the Von Kossa stain?

A

Calcium salts appear black/brown.

39
Q

What is the purpose of Alizarin Red S?

A

Used to demonstrate calcium in tissue sections.

40
Q

What is the principle of the Alizarin Red S method?

A

Calcium forms an alizarin red S-calcium complex in a chelation process.

41
Q

What color do calcium deposits stain with Alizarin Red S?

A

Orange-red.

42
Q

What is the background color when using Alizarin Red S?

43
Q

True or False: Alizarin Red S is more sensitive for small amounts of calcium than Von Kossa.

44
Q

What is the likely cause of a marked black precipitate in a section of ileum stained with Masson-Fontana?

A

Using the silver immediately after preparation.

45
Q

What is the significance of calcium in coronary arteries?

A

Marker for coronary arterial disease (CAD).