Table 1.
Histological description of individual patient biopsies.
Diagnosis | Clinical information | Biopsy Findings |
---|---|---|
Jo-1 | Muscle pain and weakness | Occasional mildly or moderately atrophic fibres. |
Jo-1 | Muscle pain, weakness and shortness of breath | Atrophic fibres and endomysial inflammatory cells with surface expression of beta 2 microglobulin on muscle fibres and complement terminal attack complex. |
Jo-1 | Muscle pain and weakness | Scattered moth-eaten fibres, myofibrillar disarray with increased variation in fibre size and endomysial cell debris. |
Jo-1 | Proximal upper and lower limb muscle pain with elevated creatinine kinase | Necrotic and regenerating fibres with atrophic fibres, split fibres and fibres with central nuclei. Endomysial inflammatory infiltrate. |
Jo-1 | Progressive bilateral leg swelling with elevated creatinine kinase and inflammatory markers. | Necrotising inflammatory myositis with inflammatory cell infiltration and enlarged central vacuoles. |
IBM | Trunk, upper and lower limb weakness. | Inflammation, degenerative and regenerating fibres, multiple rimmed vacuoles; with inclusions |
IBM | Upper and lower limb weakness and wasting with difficulty swallowing. | Atrophic fibres and fibres containing rimmed vacuoles, and inflammatory cell infiltrate. |
IBM | Upper limb muscle pain and tenderness and elevated creatinine kinase. | Inflammatory changes and infiltrate with fibre atrophy, degeneration, regeneration, adipose tissue replacement and myofibrillar disorganization. Increase in endomysial collagen. |
IBM | Pain and weakness in proximal lower limb | Atrophic, necrotic and regenerating fibres with adipose tissue replacement. Focal fibrosis, endomysial inflammation, internal nuclei and lymphocytic. Rimmed vacuoles with up-regulation of beta 2 microglobulin. |
IBM | Muscle pain and weakness | Hypertrophic and atrophic fibres embedded in fibrotic stroma. Necrotic fibres engulfed by macrophages and endomysial lymphocytic infiltration. Rimmed vacuoles and ragged red fibres and inclusions in myofibres. |