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Inclusion body myositis x400 wit

Inclusion body myositis x400 wit
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This is a muscle biopsy, stained with H&E. The patient has inclusion body myositis (IBM). H&E staining is not very sensitive for IBM. Nonetheless, sometimes, as in this image, rimmed vacuoles (the inclusion bodies) can be seen on H&E. A rimmed vacuole is indicated in this image by an unnecessarily large blue arrow.
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