Abstract
Congo red stain is the gold standard for detection of amyloid. This is facilitated by examination of sections thicker than usual. A simple and convenient method is that described by Stokes. Between crossed polariser and analyser, the red colour of amyloid stained by Congo red is changed to a variety of other colours, called anomalous colours. These can be explained by the principles of optical physics. Although only green is usually reported, combinations such as blue/green and yellow/green are commonly seen. Other combinations of anomalous colours appear when the polariser and analyser are progressively uncrossed. These features are characteristic of amyloid stained by Congo red, although they are not specific, but other materials in sections that may give these findings, such as cellulose, can usually be distinguished in other ways.
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References
Bennhold H. Eine spezifische Amyloidfärbung mit Kongorot (a specific staining of amyloid with Congo red). Münch Med Woch. 1922;69:1537–8.
Bennhold H. Über die Ausscheidung intravenös einverleibten Kongorotes bei den verschiedensten Erkrankungen insbesondere bei Amyloidosis (on the elimination of intravenously absorbed Congo red in various diseases, in particular in amyloidosis). Deut Arch Klin Med. 1923;142:32–46.
Howie AJ, Brewer DB. Optical properties of amyloid stained by Congo red: history and mechanisms. Micron. 2009;40:285–301.
Aterman K. ‘A pretty a vista reaction for tissues with amyloid degeneration’, 1875: an important year for pathology. J Hist Med. 1976;31:431–47.
Aterman K. A historical note on the iodine-sulphuric acid reaction of amyloid. Histochem. 1976;49:131–43.
Horobin RW, Kiernan JA. Conn’s biological stains. 10th ed. Oxford: BIOS Scientific; 2002. p. 132–4.
Puchtler H, Sweat F, Levine M. On the binding of Congo red by amyloid. J Histochem Cytochem. 1962;10:355–64.
Stokes G. An improved Congo red method for amyloid. Med Lab Sci. 1976;33:79–80.
Wright JR, Calkins E, Humphrey RL. Potassium permanganate reaction in amyloidosis: a histologic method to assist in differentiating forms of this disease. Lab Invest. 1977;36:274–81.
Howie AJ, Brewer DB, Howell D, Jones AP. Physical basis of colors seen in Congo red-stained amyloid in polarized light. Lab Invest. 2008;88:232–42.
Howie AJ, Owen-Casey MP. Discrepancies between descriptions and illustrations of colours in Congo red-stained amyloid, and explanation of discrepant colours. Amyloid. 2010;17:109–17.
Picken MM. Generic diagnosis of amyloid—a summary of current recommendations and the editorial comments on chapters 12–15. Chapter 16, this volume.
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Howie, A.J. (2012). Diagnosis of Amyloid Using Congo Red. In: Picken MD, PhD, FASN, M., Dogan, M.D., Ph.D., A., Herrera, M.D., G. (eds) Amyloid and Related Disorders. Current Clinical Pathology. Humana Press. https://doi.org/10.1007/978-1-60761-389-3_12
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DOI: https://doi.org/10.1007/978-1-60761-389-3_12
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