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Electron Microscopy for Pathologists: Muscle Pathology
H2. Nemaline Inclusion Myopathy continued

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Image 3 of 5 Nemalin rods can be present as dense, irregular bodies in a random orientation just beneath the sarcolemma. On electron microscopy, they present as thickenings of the Z-lines within Type I fibers.

 

Nemalin rods
   

Image 4 of 5 The nemalin rods are actually derived from Z-band material and have been characterized immunohistochemically with anti-alpha-actinin.

 

 

 

Nemalin rods
   
Image 5 of 5 At higher magnification, nemalin rods show variable rod length in the longitudinal section. Thin filaments extending from each end interdigitate with thicker filaments. Nemalin rods

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