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Annals of the Rheumatic Diseases logoLink to Annals of the Rheumatic Diseases
letter
. 2002 Aug;61(8):754–756. doi: 10.1136/ard.61.8.754

Ultrastructural study of the muscle coat of the gastric wall in a case of systemic sclerosis

L Ibba-Manneschi, A Del Rosso, S Pacini, A Tani, P Bechi, C Matucci
PMCID: PMC1754189  PMID: 12117690

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Figure 1 .

Figure 1

Stomach of a patient with lSSc—muscle coat. (A) Circular and longitudinal muscle layers. Note the marked fibrosis among the smooth muscle cells (smcs) (arrows). Sometimes smcs show a severe cytoplasmic vacuolisation (arrowheads); (B) a group of smcs. Myofilaments and dense bodies show a severe disarray (arrows). The dense bodies are thickened (arrowheads). F, collagen fibres; (C) nerve bundle containing many axons in myenteric plexus area. The axoplasm appears oedematous and poor in neurotubules and neurofilaments (arrowheads). L, lipofuscinic bodies; (D) nerve ending (NE), embedded in abundant collagen fibres (F) shows just one close contact area with an smc (arrows); (E) blood vessel, with lumen completely occluded by erythrocytes (E) and neutrophils (N) is close to a nerve bundle (Nb) containing many altered axons; (F) mast cell rich in granules is evident between a blood vessel (BV) and the smcs. Original magnification: (A) x5000; (B, E, F) x3000; (C) x8000; (D) x6000.


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