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IBM trichrome with highlighted rimmed vacuoles

Last updated on Saturday, September 13 2008 by jdmiles

IBM trichrome with highlighted rimmed vacuoles

This is a Gomori trichrome stain of skeletal muscle. The patient has inclusion body myositis (IBM). Note that most of the muscle fibers look pretty normal. However, there are a couple of fibers (encircled by the thick red line) which contain numerous rimmed vacuoles. These rimmed vacuoles are the inclusion bodies. Because not every fiber has inclusions, it is possible that a biopsy might not contain any affected fibers.

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