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Table 3 Myopathological findings

From: Diagnostically important muscle pathology in DNAJB6 mutated LGMD1D

 

Muscle

Neurogenic fiber type grouping

Fiber type predominance

Fiber size variation

Fibrosis and fatty degeneration

Increase of internal nuclei

Fiber splitting

Necrosis

Lymphocyte infiltrates

Fiber regeneration

Rimmed vacuoles

Cytoplasmic myofibrillar inclusions

Core-like lesions

Rubbed-out fibers

Moth-eaten

Lobulated fibers

Ragged red fibers

COX– fibers

FF1

 

III-6

VL

+

 

++

+

+

+

+

+

++

+

 

III-8

S

(+)

++

++

++

++

 

+

++

++

 

III-12

VL

+

(+)

+

+

(+)

+

 

  

GLU

+

(+)

+

+

+

+

+

++

+

 

  

VL

 

(+)

+

+

+

+

+

+

++

+

 

IV-7

GM

+

+

+

+

+

+

+

+

+++

  

GM

++

++

++

++

+

+

++

++

+

+

 

IV-8

GM

+

+

+

+

+

+

+

+

+

+

+

 

IV-9

VL

+

+

+

+

+

+

+

+

+

+

  

VL

+

++

+

+

+

+

(+)

(+)

 

IV-10

VL

+

(+)

+

  

VL

+

+

+

+

+

+

FF2

 

III-4

VL

 

+

+

+

+

(+)

 

III-5

VL

 

+

+

+

++

(+)

 

III-7

VL

 

++

++

+++

+

+

+

+

+

+

+

+

FF3

 

IV-1

VL

+

++

+

+++

+

+

+

+

++

+

+

  

GL

++

+

++

+

++

+

+

++

++

+

+

(+)

FF4

 

III-2

VL

+

++

++

++

+

+

+

+

+

+

 

IV-1

VL

(+)

+

+

+

+

+

++

+

FF5

 

IV-1

VL

+

++

++

++

+

+

+

++

+

+

+++

FF6

 

IV-1

VL

+

++

++

+

+

+

+

+

(+)

  1. Internal nuclei amount assessed as: –, absent; (+), existent in < 1 %; +, existent up to 5 %; ++, existent in 6–20 %; +++, existent in over 20 % of the fibers. Fibrosis and fatty degeneration: –, no fibrosis, fatty degeneration; +, mildly increased; ++, moderately increased