Amorphous Extracellular Eosinophilic Material – The Diagnostic Challenge in Histopathology

Amyloidosis encompasses a diverse group of conditions characterized by the extracellular accumulation of misfolded, insoluble proteinaceous material with a cross-beta-pleated sheet structure, leading to organ damage. Due to its varied origins and manifestations, different diagnostic tools are requir...

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Main Authors: P. Sivakumar, P. Rajkumar, S. K. Sridevi, L. Priyadharshini, M. Elancheran
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-01-01
Series:Current Medical Issues
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Online Access:https://journals.lww.com/10.4103/cmi.cmi_108_24
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author P. Sivakumar
P. Rajkumar
S. K. Sridevi
L. Priyadharshini
M. Elancheran
author_facet P. Sivakumar
P. Rajkumar
S. K. Sridevi
L. Priyadharshini
M. Elancheran
author_sort P. Sivakumar
collection DOAJ
description Amyloidosis encompasses a diverse group of conditions characterized by the extracellular accumulation of misfolded, insoluble proteinaceous material with a cross-beta-pleated sheet structure, leading to organ damage. Due to its varied origins and manifestations, different diagnostic tools are required for accurate diagnosis. A definitive diagnosis is achieved through biopsy, revealing amyloid deposits in the affected tissue. When stained with hematoxylin and eosin, amyloid material appears as amorphous eosinophilic acellular deposits. These morphological features are shared with other substances such as collagen, fibrin, plasma, hyaline globules, hyalinization, and necrosis, posing a diagnostic challenge for pathologists. However, morphology, surrounding tissue morphology, and special stains can differentiate between amyloid and amyloid-like material. This case series of six cases highlights the appropriate staining techniques for differentiating amyloid from amyloid-like material in histopathology.
format Article
id doaj-art-9ab46189f03342b3a499578eb6a728aa
institution Kabale University
issn 0973-4651
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language English
publishDate 2025-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Current Medical Issues
spelling doaj-art-9ab46189f03342b3a499578eb6a728aa2025-02-10T14:49:48ZengWolters Kluwer Medknow PublicationsCurrent Medical Issues0973-46512666-40542025-01-01231707410.4103/cmi.cmi_108_24Amorphous Extracellular Eosinophilic Material – The Diagnostic Challenge in HistopathologyP. SivakumarP. RajkumarS. K. SrideviL. PriyadharshiniM. ElancheranAmyloidosis encompasses a diverse group of conditions characterized by the extracellular accumulation of misfolded, insoluble proteinaceous material with a cross-beta-pleated sheet structure, leading to organ damage. Due to its varied origins and manifestations, different diagnostic tools are required for accurate diagnosis. A definitive diagnosis is achieved through biopsy, revealing amyloid deposits in the affected tissue. When stained with hematoxylin and eosin, amyloid material appears as amorphous eosinophilic acellular deposits. These morphological features are shared with other substances such as collagen, fibrin, plasma, hyaline globules, hyalinization, and necrosis, posing a diagnostic challenge for pathologists. However, morphology, surrounding tissue morphology, and special stains can differentiate between amyloid and amyloid-like material. This case series of six cases highlights the appropriate staining techniques for differentiating amyloid from amyloid-like material in histopathology.https://journals.lww.com/10.4103/cmi.cmi_108_24amyloid-like materialamyloidosiscongo red staininghistopathology
spellingShingle P. Sivakumar
P. Rajkumar
S. K. Sridevi
L. Priyadharshini
M. Elancheran
Amorphous Extracellular Eosinophilic Material – The Diagnostic Challenge in Histopathology
Current Medical Issues
amyloid-like material
amyloidosis
congo red staining
histopathology
title Amorphous Extracellular Eosinophilic Material – The Diagnostic Challenge in Histopathology
title_full Amorphous Extracellular Eosinophilic Material – The Diagnostic Challenge in Histopathology
title_fullStr Amorphous Extracellular Eosinophilic Material – The Diagnostic Challenge in Histopathology
title_full_unstemmed Amorphous Extracellular Eosinophilic Material – The Diagnostic Challenge in Histopathology
title_short Amorphous Extracellular Eosinophilic Material – The Diagnostic Challenge in Histopathology
title_sort amorphous extracellular eosinophilic material the diagnostic challenge in histopathology
topic amyloid-like material
amyloidosis
congo red staining
histopathology
url https://journals.lww.com/10.4103/cmi.cmi_108_24
work_keys_str_mv AT psivakumar amorphousextracellulareosinophilicmaterialthediagnosticchallengeinhistopathology
AT prajkumar amorphousextracellulareosinophilicmaterialthediagnosticchallengeinhistopathology
AT sksridevi amorphousextracellulareosinophilicmaterialthediagnosticchallengeinhistopathology
AT lpriyadharshini amorphousextracellulareosinophilicmaterialthediagnosticchallengeinhistopathology
AT melancheran amorphousextracellulareosinophilicmaterialthediagnosticchallengeinhistopathology