Saturday 17 June 2017

Hereditary Hemochromatosis | NEET Based MCQ

NIME Next Batch PGI Quest in Delhi from 10 August to 20 August


Yellow brown granules were found in liver cells and Kupffer cells of a man with hereditary hemochromatosis. These granules became blue following the Prussian blue reaction. What are these granules? 

A. Transferrin 
B. Hemosiderin 
C. Hemoglobin 
D. Bilirubin


Ans. B. In hereditary hemochromatosis, a genetic abnormality of iron absorption in the small intestine, excess iron is stored mostly in the form of hemosiderin, primarily in the liver, but also in many other organs. Hemosiderin appears as brown cytoplasmic granules, which turn blue with the Prussian blue reaction. Transferrin is the plasma protein that transports iron. Hemoglobin is the red iron-containing pigment of red blood cells. Upon hemolysis of red blood cells, hemoglobin is degraded into greenish biliverdin or yellow bilirubin. Bilirubin may accumulate in the liver cells, but it does not form granules that are Prussian-blue positive.