Anti-Jo-1 myositis | Dermatomyositis | Polymyositis pathology series | Jo-1 negative polymyositis clinical + path | IBM clinical + path | Fasciitis clinical + path | ||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Pathology series | Clinical + path series | ||||||||||||||||||||||
n+ | % + | n + | % + | n + | % + | n + | % + | n + | % + | n + | % + | n+ | % + | ||||||||||
Biopsies (n) | 11 | 18 | 8 | 19 | 8 | 8 | 5 | ||||||||||||||||
Perifascicular myopathy | |||||||||||||||||||||||
Atrophic muscle fibres | 11 | 100 | 18 | 100 | 8 | 100 | 0 | 02-151 | 0 | 02-151 | 0 | 02-151 | 1 | 20*** | |||||||||
Myopathic changes2-152 | 10 | 91 | 12 | 67 | 6 | 75 | 0 | 02-151 | 0 | 02-151 | 0 | 02-151 | 1 | 202-160 | |||||||||
Inflammation (focal) | |||||||||||||||||||||||
Perimysial | 11 | 100 | 7 | 392-151 | 1 | 13 | 3 | 162-151 | 3 | 38*** | 0 | 02-151 | 5 | 100 | |||||||||
Endomysial | 2 | 18 | 4 | 22 | 3 | 37 | 15 | 792-151 | 4 | 50 | 8 | 1002-151 | 0 | 0 | |||||||||
Perivascular | 1 | 9 | 12 | 672-160 | 4 | 50 | 13 | 68*** | 5 | 632-150 | 4 | 50 | 2 | 40 | |||||||||
Perimysial connective tissue fragmentation | 11 | 100 | 3 | 172-151 | 0 | 0 | 3 | 162-151 | 1 | 112-151 | 0 | 0 | 3 | 60 | |||||||||
Alkaline phosphatase | |||||||||||||||||||||||
Perimysial staining | 10 | 91 | 10 | 56 | 2 | 25 | 8 | 422-160 | 3 | 382-150 | 3 | 38 | 1 | 202-160 | |||||||||
Small vessel staining | 1 | 9 | 10 | 56 | 5 | 63 | 4 | 212-150 | 2 | 25 | 4 | 50 | 1 | 20 | |||||||||
COX− muscle fibres | |||||||||||||||||||||||
Perifascicular | 0 | 0 | 11 | 612-150 | 5 | 63 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |||||||||
Scattered (>3%) | 0 | 0 | 0 | 0 | 0 | 0 | 7 | 372-150 | 2 | 25 | 52-151 | 63 | 0 | 0 | |||||||||
Capillary index2-153 | 0.88 (0.16) | 0.55 (0.08)2-150 | 0.95 (0.10) | 0.88 (0.13) |
n+=Number positive; % +=per cent positive; pathological (path) series: pathological changes consistent with diagnosis.
Clinical+path series: definite diagnosis by clinical, laboratory, and pathological criteria.7
Different from Anti-Jo-1 myositis:
↵2-150 p⩽0.05;
↵2-160 p<0.02 ***; p⩽0.01;
↵2-151 p⩽0.001.
↵2-152 Myopathic changes: muscle fibre necrosis or regeneration
↵2-153 Capillary index (mean (SE)): Capillaries/1000 μm2muscle fibre area; normal =0.85 (0.02).
COX−=cytochrome oxidase negative.