Extravascular Hemolysis
Macrophage phagocytizes old or
damaged RBC’s
Fe
++
transferrin
Storage
(hemosiderin)
Or
Bone marrow
(ferritin)
Globin chains
Broken down
into individual
amino acids
which return
to amino acid
pool
Heme
Protophorphyrin ring
split open in
macrophage to form
biliverdin
Bilirubin
released to
circulation