Iron excretion from the goblet cells of the small intestine in man. An additional regulatory mechanism in iron homeostasis?

Iron-excreting goblet cells were observed by chance in a patient with myelogenic leukaemia. Duodenal and jejunal biopsies from patients with a wide spectrum of disorders have therefore been examined retrospectively after staining with Perl's iron method. Thirty-seven of the patients had iron-excreting goblet cells. The presence of iron has been confirmed by X-ray microanalysis and by electron microscopic histochemistry. In addition to iron-excreting goblet cells, most of these patients had iron-containing macrophages in lamina propria. This may indicate that the two types of cells co-operate in the excretion process. It is suggested that iron excretion may be part of the common iron balance mechanism.