Research Article
Clinical, Histological, and Immunohistochemical Findings in Inclusion Body Myositis
Table 4
General data, histological, immunohistochemical and deposits of amyloid (Congo-red) of muscle biopsies in 18 cases with sIBM and controls.
| Case | Biopsy date | Histologic diagnoses | Fiber size variation | Necrosis | Macrophagy | RV | AAF | CC | Connective tissue increase | NC | Inflammatory infiltrates | IAPR | Mitochondrial changes | Congo-red | EMy | PMy | EMy | PMy | PV | COX− | SDH+ | RRF |
| 1 | | | | | | | | | | | | | | | | | | | | a | 02/11 | UM | + | A | P | A | P | P | + | + | + | P | A | A | + | P | P | A | P | b | 02/13 | IBM | ++ | P | A | P | P | P | ++ | ++ | + | P | A | A | + | A | P | A | P | 2 | 09/12 | IBM | ++ | P | A | P | A | P | ++ | ++ | ++ | P | P | A | ++ | A | A | A | P | 3 | 04/12 | IBM | ++ | P | P | P | P | P | + | + | ++ | P | P | A | ++ | P | P | P | P | 4 | | | | | | | | | | | | | | | | | | | | a | 09/11 | UM | + | P | A | A | A | P | + | + | ++ | P | P | A | ++ | P | P | A | P | b | 11/13 | IBM | ++ | P | A | P | A | P | + | + | ++ | P | A | A | + | A | A | A | P | 5 | | | | | | | | | | | | | | | | | | | | a | 12/10 | IBM | + | P | P | P | A | P | ++ | + | + | P | P | A | + | P | P | A | P | b | 06/14 | IBM | +++ | A | A | P | A | P | +++ | +++ | + | P | A | A | ++ | P | P | A | P | 6 | 02/14 | IBM | ++ | A | A | P | A | P | + | + | ++ | P | A | A | ++ | A | A | A | P | 7 | | | | | | | | | | | | | | | | | | | | a | 10/13 | DIST | +++ | A | A | A | A | P | +++ | +++ | ++ | P | A | A | +++ | A | A | A | U | b | 03/14 | IBM | +++ | P | P | P | P | P | ++ | ++ | ++ | P | A | A | ++ | P | A | A | P | 8 | 02/14 | IBM | ++ | A | A | P | A | P | + | + | ++ | P | A | A | ++ | A | A | A | P | 9 | 04/10 | IBM | ++ | P | A | P | P | P | + | A | + | P | P | P | + | A | A | A | P | 10 | | | | | | | | | | | | | | | | | | | | a | 07/10 | IBM | + | A | A | P | A | P | + | + | + | P | P | P | + | A | A | A | U | b | 09/13 | IBM | + | P | A | P | A | P | + | + | ++ | P | P | A | ++ | P | A | A | P | 11 | | | | | | | | | | | | | | | | | | | | a | 05/04 | IBM | + | P | P | P | A | P | + | + | + | P | P | P | + | A | A | A | U | b | 01/16 | IBM | + | P | P | P | A | P | A | + | + | P | A | A | + | P | P | P | P | 12 | | | | | | | | | | | | | | | | | | | | a | 05/12 | UM | + | P | A | A | P | A | A | A | + | P | A | A | + | A | A | A | U | b | 07/12 | IBM | + | P | P | P | P | P | A | + | ++ | P | P | A | + | P | A | A | P | 13 | 10/14 | IBM | ++ | P | P | P | P | P | ++ | ++ | ++ | P | A | A | + | P | A | A | P | 14 | 05/14 | IBM | + | P | P | P | P | P | + | A | ++ | P | A | A | ++ | A | A | A | P | 15 | 02/15 | IBM | + | P | P | P | P | P | + | ++ | + | P | P | A | + | P | A | A | P | 16 | 10/14 | IBM | + | P | P | P | A | P | + | ++ | + | P | A | A | + | P | P | P | P | 17 | 10/14 | IBM | + | A | A | P | P | P | + | ++ | ++ | P | A | A | + | A | P | A | P | 18 | 11/14 | IBM | + | P | P | P | P | P | + | + | + | P | A | A | ++ | P | P | P | P | Controls | 19 | 05/14 | NL | A | A | A | A | A | A | + | + | A | A | A | A | A | A | A | A | A | 20 | 03/14 | DM | + | A | A | A | P | P | + | + | + | P | P | P | ++ | A | A | A | A | 21 | 02/14 | DM | ++ | A | A | A | P | P | ++ | ++ | + | P | P | P | + | A | A | A | A | 22 | 08/13 | PM | + | P | A | A | A | P | A | A | + | P | P | A | ++ | A | A | A | A | 23 | 08/13 | PM | + | P | A | A | A | P | + | + | + | P | P | A | +++ | A | A | A | A |
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IBM = inclusion body myositis. UM = unspecific myopathic changes. DIST = dystrophic pattern. A = absent. P = present. U = unrealized. EMy = endomysial. PMy = perimysial. PV = perivascular. IAPR = increased acid phosphatase reaction. AAF = angulated atrophic fibers. CC = cytoarchitecture changes. NC = nuclear centralization. RV = rimmed vacuoles. Biopsy date (month/year). +: mild. ++: moderate. +++: severe. |