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