Neuromuscular

Myopathy with Sarcoplasmic pads & Grouped muscle fiber atrophy



VvG stain
Myopathy
  Fiber sizes: Varied
  Small muscle fibers: Present in clusters

NADH stain


H&E stain
Myopathy
  Varied pathology in different regions
  Some areas have many small fibers
    Small fibers have dark staining and large nuclei
  Other regions only have a few intermediate sized fibers

H&E stain


VvG stain
Muscle fiber internal architecture
  Sarcoplasmic pads around small fibers
  Other small & Large fibers have irregular internal archjitecture

VvG stain

Muscle fiber internal architecture
  Sarcoplasmic pads around small fibers
  Other small & Large fibers have irregular internal archjitecture
  Internal nuclei: Present in some muscle fibers

VvG stain


Gomori trichrome stain
Myopathy
  Fiber sizes: Varied
  Small fibers: Dark stained
  Endomysial connective tissue: Increased between muscle fibers

Gomori trichrome stain


NADH stain
Muscle fiber internal architecture
  Sarcoplasmic pads around small fibers
  Other small muscle fibers have irregular internal archjitecture

NADH stain


COX stain
Mitochondria
  Abundant in sarcoplasmic pads

COX stain

Mitochondria
  Abundant in sarcoplasmic pads

SDH stain


Desmin stain
Desmin
  Increased in cytoplasm of small muscle fibers


Dys1 stain
Dystrophin
  Small fibers have moderately thick sarcolemma


Congo red stain
Myonuclei
  Large & irregular shapes in small fibers

Congo red stain


Emerin stain
Myonuclei
  Large & irregular shapes in small fibers


ATPase pH 9.4 stain
fiber types
  Small fibers: Mixed types; Many 2C
  No fiber type grouping

ATPase pH 4.3 stain

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4/29/2024