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Question

Identify the structure as represented by a black arrow in the blood smear of a patient given below?

A. Pappenheimer Bodies.

B. Cabot rings.

C. Howell-Jolly Bodies.

D. Heinz Bodies.

 

Show Answer

Correct Answer » A

Explanation

Ans: A. Pappenheimer Bodies

  • Pappenheimer bodies are abnormal granules of iron found inside red blood cells .
  • Pappenheimer bodies are visible with a Wright and/or Giemsa stain. Confirmation of non-heme iron in the granules is made with a Perls’ Prussian blue stain
  • They are a type of inclusion body formed by phagosomes that have engulfed excessive amounts of iron.
  • 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 are seen in diseases such as sideroblastic anemia, hemolytic anemia, and sickle cell disease.
  • These cells stain for iron with Prussian blue stain. This distinguishes them from basophilic stippling and Howell-Jolly bodies.
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