Pappenheimer bodies

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Pappenheimer bodies (Peripheral Blood / May-Grünwald Giemsa and Prussian blue stain)

Pappenheimer bodies are abnormal basophilic granules of iron found inside red blood cells on routine blood stain.[1] They are a type of

inclusion body composed of ferritin aggregates, or mitochondria or phagosomes containing aggregated ferritin. They appear as dense, blue-purple granules within the red blood cell and there are usually only one or two, located in the cell periphery. They stain on a Romanowsky stain because clumps of ribosomes
are co‐precipitated with the iron‐containing organelles.

A cell containing Pappenheimer bodies is a siderocyte. Reticulocytes often contain Pappenheimer bodies. They are mostly observed in diseases such as myelodysplastic syndrome (MDS), sideroblastic anemia, hemolytic anemia, lead poisoning and sickle cell disease. They can interfere with platelet counts when the analysis is performed by electro-optical counters.[2]

Distinction with basophilic stippling

Pappenheimer bodies must be distinguished with other basophilic granules inside erythrocytes like the basophilic stippling. Contrary to the latter, they contain iron.[3]

History

In 1945, Alwin Max Pappenheimer Jr. et al. described three patients whose red blood cells, after splenectomy, showed inclusions when stained with Giemsa stain or Wright's stain.[4]

Diagnosis

Pappenheimer bodies are visible with a Wright and/or Giemsa stain. Confirmation of non-heme iron in the granules is made with a

sideroblasts characterizes Sideroblastic anemia
.

References

  1. .
  2. ^ "Definition: Pappenheimer bodies from Online Medical Dictionary". Retrieved 2008-03-23.
  3. ISBN 978-1451172683.{{cite book}}: CS1 maint: location missing publisher (link
    )
  4. .
  5. ^ "Medical Definition of SIDEROCYTE". www.merriam-webster.com. Retrieved 11 October 2020.

3. Lazarchick, J. "Pappenheimer Bodies." ASH Image Bank (2004);

External links