Pathology

Histopathology

Stains (click for more info)

Haematoxylin and eosin

Features

Haematoxylin (basic) stains acidic structures purplish/blue eg DNA, ribosomes, rEREosin (acidic) stains basic structures red or pink eg most cytoplasmic proteins and amyloid

Uses

Commonly used

Haematoxylin and eosin

Periodic acid-Schiff

Features

Outlines tissue structures eg. BMs, capsules, blood vessels

Uses

Acanthomoeba cysts and fungi

PAS-positive material in homocystinuria

Periodic acid-Schiff

Alcian blue

Features

Highlights mucopolysaccharide

Uses

Corneal macular dystrophy

Alcian blue

Colloidal iron

Features

Stains mucopolysaccharide blue

Uses

Corneal macular dystrophy

Colloidal iron

Congo red

Features

Highlights amyloid with 'apple' green birefringence

Uses

Corneal lattice dystrophy

Congo red

Masson trichrome

Features

Highlights hyaline materials red

Highlights new collagen blue

Uses

Corneal granular dystrophy

Reis-Buckler epithelial dystrophy

Masson trichrome

Perl's prussian blue

Features

Intracellular corneal epithelial iron causing Fleischer rings

Stocker line of iron at the advancing edge of a pterygium

Ferry line at base of trabeculectomy bleb

Uses

Fleischer rings: Keratoconus

Stocker line: pterygium

Ferry line: trab bleb

Perl's prussian blue

Gram stain

Features

Gentian violet and Lugol's iodine create a blue/black complex on the charged bacterial cell wall (gram positive)

Uses

Gram positive vs Gram negative species

Gram stain

Ziehl-Neelsen

Features

Mycobacteria

Uses

Acid-fast bacilli (TB)

Ziehl-Neelsen

Grocott hexamine/methanamine

Features

Black

Uses

Fungi and acanthomoeba

Grocott hexamine/methanamine

Calcoflour white

Features

Requires fluorescent microscope

Uses

Fungi (and acanthomoeba?)

Calcoflour white

Acridine orange

Features

Requires fluorescent microscope

Uses

Fungi

Acridine orange

Giemsa

Features

Blue-purple inclusion bodies

Uses

Chlamydia

(Fungi)

DNA: reveals alternating bands

Giemsa

Oil red O

Features

Stains fat within cells red

Uses

Sebaceous cell carcinoma

Oil red O

Sudan black

Features

Stains lipid

Uses

Sebaceous cell carcinoma

Sudan black

Von Kossa

Features

Stains calcium black

Uses

Von Kossa
Stain Features  Uses 
Haematoxylin and eosin Haematoxylin (basic) stains acidic structures purplish/blue eg DNA, ribosomes, rEREosin (acidic) stains basic structures red or pink eg most cytoplasmic proteins and amyloid Commonly used
Periodic acid-Schiff Outlines tissue structures eg. BMs, capsules, blood…
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Neoplasia