The Oral Histology Series Series 5 Special Stains

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The Oral Histology Series Series 5 Special Stains DAVID E. KLINGMAN, Lt Col, USAF, DC Views and opinions expressed are those of the author(s) and do not reflect official policy or position of the United States Air Force, Department of Defense, or US Government.

Reticulin stain: Highlights reiculin fibers (which are argyrophilic) in parenchymal tissues in organs such as liver and spleen; demonstrates growth patterns of neoplasms

Reticulin stain: Highlights reiculin fibers (which are argyrophilic) in parenchymal tissues in organs such as liver and spleen; demonstrates growth patterns of neoplasms

Elastic/Verhoeff s van Gieson stain: Demonstrates atrophy of elastic tissue in cases of emphysema and thinning/loss of 4 elastic fibers in arteriosclerosis, temporal arteritis and other vascular diseases

Masson s trichrome stain: Differentiates collagen fibers from smooth muscle; routine stain for liver and kidney biopsy. Increases seen in collagen diseases (e.g. cirrhosis of liver)

Masson s trichrome stain: Differentiates collagen fibers from smooth muscle; routine stain for liver and kidney biopsy. Increases seen in collagen diseases (e.g. cirrhosis of liver)

Periodic acid-schiff stain (with or without diastase): Demonstrates glycogen and polysaccharides; glycogen will be digested with diastase (diastase labile) versus mucins which will not digest (diastase resistant)

Periodic acid-schiff stain (with or without diastase): Demonstrates glycogen and polysaccharides; glycogen will be digested with diastase (diastase labile) versus mucins which will not digest (diastase resistant)

Best s carmine stain: Red stain which highlights glycogen 9

Mucicarmine stain: Highlights bacteria (red); highlights mucin (useful in identifying mucus cells, 10 for example, in mucoepidermoid carcinoma)

Alcian green stain: Highlights cartilage 11

Grocott s methenamine silver stain: Highlights the cell wall of microorganisms (useful for identifying fungal organisms)

Acid fast stain: Highlights certain bacteria, particularly Mycobacterial species

Acid fast stain: Highlights certain bacteria, particularly Mycobacterial species

Acid fast stain: Highlights certain bacteria, particularly Mycobacterial species

Acid fast stain: Highlights certain bacteria, particularly Mycobacterial species

Auramine rhodamine stain: A fluorescence stain, used to highlight acid fast bacilli such as Mycobacterium 17

Auramine rhodamine stain: A fluorescence stain, used to highlight acid fast bacilli such as Mycobacterium 18

Gram stain: Differentiates bacteria into gram-positive and gram-negative species 19

Gram stain: Differentiates bacteria into gram-positive and gram-negative species 20

Giemsa stain: Used in peripheral blood smears 21

Giemsa stain: Used in peripheral blood smears 22

Giemsa stain: Used in peripheral blood smears

Giemsa stain: Used in peripheral blood smears

Giemsa stain: Used in peripheral blood smears

Iron stain (Prussian blue): Highlights ferric ions in tissues, such as bone marrow samples

Iron stain (Prussian blue): Highlights ferric ions in tissues, such as bone marrow samples

Grimelius (Pascual s modified) stain: Identifies modified argyrophil cells found in larger numbers in same general locations 28 as argentaffin cells; differentiates carcinoid tumors and neuroendocrine tumors such as Merkel cell carcinoma

Fontana Masson stain: Identifies argentaffin cells and melanin pigment 29

Warthin-Starry stain: Stains spirochetes

Warthin-Starry stain: Stains spirochetes

Warthin-Starry stain: Stains spirochetes

Warthin-Starry stain: Stains spirochetes

Phosphotungstic acid-haematoxylin (PTAH) / Malloy s stain: Aids in diagnosing/identifying muscle cross-striations, fibrin, and mitochondria-rich cells 34

Phosphotungstic acid-haematoxylin (PTAH) / Malloy s stain: Aids in diagnosing/identifying muscle cross-striations, fibrin, and mitochondria-rich cells 35

Phosphotungstic acid-haematoxylin (PTAH) / Malloy s stain: Aids in diagnosing/identifying muscle cross-striations, fibrin, and mitochondria-rich cells 36

Phosphotungstic acid-haematoxylin (PTAH) / Malloy s stain: Aids in diagnosing/identifying muscle cross-striations, fibrin, and mitochondria-rich cells 37

Palmgren stain: Identifies nerve axons 38

Bodian stain: Demonstrates nerve fibers 39

Luxol fast blue/cresyl violet stain: Demonstrates myelin sheath 40

Bielschowsky stain: Demonstrates neurofibrillary tangles, nerve fibers, and senile plaques; useful 41 in diagnosis of Alzheimer s Disease

Congo red stain: Useful as a cytoplasm and erythrocyte stain; amyloid will demonstrate apple green birefringence when viewed under polarized light

Congo red stain: Useful as a cytoplasm and erythrocyte stain; amyloid will demonstrate apple green birefringence when viewed under polarized light

Crystal violet stain: Demonstrates amyloid

Thioflavin T stain: Fluorescent stain which demonstrates amyloid; useful in Alzheimer s diagnosis 45

Sudan IV stain: Stains lipids, triglycerides, and lipoproteins 46

Oil Red O stain: Demonstrates fat/lipids in fresh (frozen) tissue 47

Jones methenamine silver stain: Demonstrates/highlights basement membrane in renal glomerules 48

Von Kossa stain: Stains Ca++ (appears deep-blue to purple); identifies mineralization within tissues 49

Leder stain: Detects the enzyme chloracetate esterase found in granulocytes, including mast cells; 50 positive staining is seen in CLL vs. CML

other stains 51

52 DiffQuik

53 Papanicoloau

54 Papanicoloau

55 Papanicoloau

56 Papanicoloau

57 Papanicoloau

58 Papanicoloau

59 toluidine blue

60 hematoxylin and eosin

61 immunohistochemistry

62 immunofluorescence