Neuromuscular

HNRNPA1 Myopathy: IBMPFD3

Aggregates
Myopathy
Vacuoles


H&E stain
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


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
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


Gomori trichrome stain
Vacuoles
  Shapes: Irregular
  Contents: Amorphous debris

Congo red stain

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

AMPDA stain

Cytoplasmic bodies: Many in one muscle fiber

Gomori trichrome stain

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8/27/2025