HNRNPA1 Myopathy: IBMPFD3

H&E stain
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Myopathy
Muscle fibers
Sizes: Varied
Small fibers
Round > Elongated
May occur in clusters
Large fibers: Hypertrophy
Internal nuclei
Endomysial connective tissue: Increased with disease progression

H&E stain
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NADH stain
|
Myopathy
Muscle fibers
Sizes: Varied
Small fibers: Dark stained
Large fibers: Central pallor

NADH stain
|

Gomori trichrome stain
|
Myopathy
Muscle fibers
Sizes: Varied
Internal nuclei
Vacuoles: Irregular shapes; May contain red debris

Acid phosphatase stain
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Myopathy
Acid phosphatase stains cytoplasm or cytoplasmic granules in some fibers
HNRNPA1: Vacuoles

H&E stain
|
Myopathy
Muscle fibers
Sizes: Varied
Vacuoles: Small & Large sizes; Irregular shapes

H&E stain
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Gomori trichrome stain
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Vacuoles
Shapes: Irregular
Contents: Amorphous debris

Congo red stain
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HNRNPA1: Aggregates in muscle fibers

AMPDA stain
|
Aggregates
Distribution
Scattered in muscle fiber
May be near edges of vacuoles
Commonly stain for AMPDA

AMPDA stain
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AMPDA stain
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Cytoplasmic bodies: Many in one muscle fiber

Gomori trichrome stain
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8/27/2025