67.Alpha-1-antitrypsin deficiency, liver, PAS stain, microscopic
The periportal red hyaline globules seen here with periodic acid-Schiff (PAS) stain are characteristic for alpha-1-antitrypsin deficiency (a person with homozygous pi-ZZ genotype) The globules are intrahepatic collections of alpha-1-antitrypsin that is not being excreted from the hepatocytes. This may eventually lead to a macronodular cirrhosis. These patients are also prone to develop panlobular emphysema of lungs.