Neuromuscular

Cap Myopathy


Caps are dark regions (arrow) at the edge of muscle fibers stained with Gomori trichrome, H&E, VvG and Desmin

Gomori trichrome stain

 

H & E stain

VvG stain

Desmin Immunocytochemistry


ATPase pH 9.4 stain
Caps do not stain on ATPase pH 9.4.

NADH stain
Caps do not stain on NADH in this patient.

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6/6/2005