Neuromuscular

INTERNAL ARCHITECTURE: NADH STAIN

Normal adult
Normal child
Immature muscle fibers
Linearization
Moth-eaten fibers
Lobulated fibers
Ring fibers
Target fibers
Denervated: Small angular fibers
Trabecular myopathy



Normal internal architecture
Muscle fibers in an adult




Normal internal architecture
Muscle fibers in a child
Staining pattern is coarser than in adults




Immature (regenerating) muscle fibers
Staining pattern is coarser than in normal fibers in adults




Linearization of membranes in pale fibers
Non-specific change.
Common in myophosphorylase deficiency.





Abnormal internal architecture
Darkly stained fibers are moth-eaten.
Moth-eaten fibers may occur in myopathy or neuropathy.




Abnormal internal architecture
Darkly stained fibers are lobulated
Lobulated fibers may occur in myopathy or neuropathy
Myopathies commonly with lobulated fibers: LGMD 2A; Ullrich CMD; Bethlem myopathy



"Trabecular" myopathy
Staining pattern is similar to lobular muscle fibers
Occasional ring fibers are present




See NADH stain methodology


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3/20/2002