Special Stain: Prussian Blue

Todayโ€™s special stain is ๐๐ซ๐ฎ๐ฌ๐ฌ๐ข๐š๐ง ๐›๐ฅ๐ฎ๐ž!

๐–๐ก๐š๐ญ ๐ข๐ฌ ๐š ๐๐ซ๐ฎ๐ฌ๐ฌ๐ข๐š๐ง ๐›๐ฅ๐ฎ๐ž ๐ฌ๐ญ๐š๐ข๐ง?
Prussian blue (or Perlโ€™s stain) is used to highlight ๐ข๐ซ๐จ๐ง. On H&E, there are several brown pigments that can look similar, so special stains are needed to distinguish them. We most commonly see iron in the form ๐ก๐ž๐ฆ๐จ๐ฌ๐ข๐๐ž๐ซ๐ข๐ง, which is mainly found within ๐ฆ๐š๐œ๐ซ๐จ๐ฉ๐ก๐š๐ ๐ž๐ฌ (the bodyโ€™s main clean-up cell) as they clean up areas of hemorrhage in tissues.

This image is a case of ๐ก๐ž๐š๐ซ๐ญ ๐Ÿ๐š๐ข๐ฅ๐ฎ๐ซ๐ž in a mouse. When the heart fails, blood accumulates in the tiny vessels within the lungs, and occasionally can leak out into the airways. Macrophages come along and clean up this blood, which forms hemosiderin within their cytoplasm. On a Prussian blue stain, these โ€œheart failure cellsโ€ can be easily identified by their blue colour!

Photo ยฉ Noahโ€™s Arkive contributor Nation licensed under CC BY-SA 4.0.

#veterinarypathology #pathology #veterinarymedicine #vetstudent #pathologyandponies #pathrounds

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