Pathological features of muscle biopsy
Patients | 1 | 2 | 3 | 4 | 5 | 6 |
---|---|---|---|---|---|---|
Connective tissue proliferation | – | + | – | – | + | – |
Myonecrosis (H&E) | – | – | – | + | – | – |
Regeneration | + | + | + | + | + | + |
Vacuoles | + | + | – | – | – | – |
Nuclear internalisation | + | + | – | – | + | + |
Muscle fibre | ||||||
Fibre diameter | Bimodal | Bimodal | Bimodal | Unimodal | Unimodal | Unimodal |
Hypertrophy fibre | + | + | + | + | + | – |
small round fibre | – | – | – | – | + | – |
Angulated fibre | + | + | + | + | + | + |
Grouped angulated fibre | + | + | + | – | + | – |
PAS | – | – | – | + | + | – |
ORO | + | + | + | + | – | + |
Mitochondrial change | ||||||
Raged red fibres (MGT) | + | + | + | + | – | + |
NADH-TR enzyme activity change | + | + | – | – | + | – |
COX-negative fibres (COX) | + | + | + | + | + | + |
Ragged blue fibres (SDH) | + | + | + | + | – | + |
Type I fibre atrophy (ATPase) | + | – | + | + | + | + |
Type I fibre hypertrophy (ATPase) | + | – | – | + | + | – |
Type II fibre atrophy (ATPase) | + | + | + | + | + | + |
Type II fibre hypertrophy (ATPase) | – | + | – | + | + | – |
Vessels structure | Normal | Normal | Normal | Normal | Normal | Normal |
Inflammatory cell infiltration | – | + | – | + | – | – |
ATPase, adenosine triphosphatase; COX, cytochrome c oxidase; MGT, modified Gomori trichrome; ORO, oil red O staining; PAS, periodic acid Schiff staining; SDH, succinate dehydrogenase.