Muscle histology Qs Flashcards

1
Q

Duchenne MD patients are likely to suffer from

Restrictive cardiomyopathy
Dilated cardiomyopathy
Arrhythmogenic cardiomyopathy.
Hypertrophic obstructive cardiomyopathy

A

Dilated cardiomyopathy

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2
Q
A

Fibromyalgia

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3
Q

IBM

Which of the following statements is true regarding the skeletal muscle biopsy image shown above?

CD20+ B cells are the predominant inflammatory component
CD8+ T cells are the predominant inflammatory component
Histologic findings are classic for dermatomyositis
IVIG is the first line therapy
Presence of rimmed vacuoles favors polymyositis

A

B. CD8+ T cells are the predominant inflammatory component

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4
Q
A

Infantile myopathy: Most fibres are small and round with a few massively hypertrophic fibres

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5
Q

This histological slide supports a diagnosis of

Body inclusion myositis
Duchenne MD (early)
Duchenne MD (late)
Myositis
Infantile myopathy
Fibromyalgia

A

Myositis - CD8 cell infiltration

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6
Q

This histological slide supports a diagnosis of

Body inclusion myositis
Duchenne MD (early)
Duchenne MD (late)
Myositis
Infantile myopathy
Fibromyalgia

A

Myositis

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7
Q

This histological slide supports a diagnosis of

Body inclusion myositis
Duchenne MD (early)
Duchenne MD (late)
Myositis
Infantile myopathy
Fibromyalgia

A

Body inclusion myositis: Congo red stain - amyloid plaques

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8
Q

This histological slide supports a diagnosis of

Body inclusion myositis
Duchenne MD (early)
Duchenne MD (late)
Myositis
Infantile myopathy
Fibromyalgia

A

Body inclusion myositis: empty vacuole

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9
Q

This histological slide supports a diagnosis of

Body inclusion myositis
Duchenne MD (early)
Duchenne MD (late)
Myositis
Infantile myopathy
Fibromyalgia

A

Body inclusion myositis

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10
Q

This histological slide supports a diagnosis of

Body inclusion myositis
Duchenne MD (early)
Duchenne MD (late)
Myositis
Infantile myopathy
Fibromyalgia

A

Duchenne MD (early)

*Fibre size variability
*Endomysial fibrosis
*Degenerating muscle fibres undergoing myophagocytosis

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11
Q

This histological slide supports a diagnosis of

Body inclusion myositis
Duchenne MD (early)
Duchenne MD (late)
Myositis
Infantile myopathy
Fibromyalgia

A

Duchenne MD: Endomysial connective tissue: Increased between muscle fibers

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12
Q

This histological slide supports a diagnosis of

Body inclusion myositis
Duchenne MD
Myositis
Infantile myopathy
Fibromyalgia

A

Duchenne MD: Dystrophin staining (Below): Muscle fibers in preserved fascicle are revertants with dystrophin present around their rim
Some revertant muscle fibers are present in myopathic regions as well.

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13
Q

This histological slide supports a diagnosis of

Body inclusion myositis
Duchenne MD
Myositis
Infantile myopathy
Fibromyalgia

A

Duchenne MD:

Later loss of muscle
Atrophy of fibres and death of fibres
Replaced with fibrotic material and fat

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14
Q

This histological slide supports a diagnosis of

Body inclusion myositis
Duchenne MD
Myositis
Infantile myopathy
Fibromyalgia

A

Duchenne MD:
Later loss of muscle
Atrophy of fibres and death of fibres
Replaced with fibrotic material and fat

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15
Q

This histological slide supports a diagnosis of

Body inclusion myositis
Duchenne MD
Myositis
Infantile myopathy
Fibromyalgia

A

BMI

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16
Q

This histological slide supports a diagnosis of

Body inclusion myositis
Duchenne MD
Myositis
Infantile myopathy
Fibromyalgia

A

Body inclusion myositis

17
Q

This imaging supports a diagnosis of

Body inclusion myositis
Duchenne MD
Myositis
Sarcopenia
Fibromyalgia

A

Body inclusion myositis

18
Q

This imaging supports a diagnosis of

Body inclusion myositis
Duchenne MD
Myositis
Sarcopenia
Fibromyalgia

A

Body inclusion myositis

19
Q

This imaging supports a diagnosis of

Body inclusion myositis
Duchenne MD
Myositis
Sarcopenia
Fibromyalgia

A

Body inclusion myositis

20
Q

This imaging supports a diagnosis of

Body inclusion myositis
Duchenne MD
Myositis
Sarcopenia
Fibromyalgia

A

Dermatomyositis / Myositis: calcification

20
Q

What disease is most likely shown?

A

Sarcopenia

21
Q

This imaging supports a diagnosis of? [1]

A

Infantile myopathic hypotonia