During an orthopedic operation a sample of the apparently normal lateral gastronecmius muscle was taken from a 13 year old female patient affected by myositis ossificans progressiva. The muscle sample was analyzed by light, electron and fluorescence microscopy, and some enzymes were assayed. Muscle fibers were classified by the adenosintriphosphatase reaction. The percentage of type I fiber was high (83%). Atrophy was found in type II fibers as shown by small mean area (2.084 Um2) and some ultrastructural features as infoldings of the sarcolemma. Capillary density was high (573 capillaries/mm2), and capillaries per fiber index was normal (1.76), as were oxidative enzymes. However many capillaries were occluded, with thick basal membrane and abnormal endothelial cells and pericytes. No immunofluorescence was found with anti IgG or anti IgM in the muscle fibers. Intersticial spaces in the cross section of the muscle were enlarged. In conclusion, no evidence of autoimmune involvement was found in myositis ossificans progressiva, but alteracions of capillaries and muscle fibers were found in a muscle apparently not affected yet by the ossification process.

During an orthopedic operation a sample of the apparently normal lateral gastronecmius muscle was taken from a 13 year old female patient affected by myositis ossificans progressiva. The muscle sample was analyzed by light, electron and fluorescence microscopy, and some enzymes were assayed. Muscle fibers were classified by the adenosintriphosphatase reaction. The percentage of type I fiber was high (83%). Atrophy was found in type II fibers as shown by small mean area (2.084 Um2) and some ultrastructural features as infoldings of the sarcolemma. Capillary density was high (573 capillaries/mm2), and capillaries per fiber index was normal (1.76), as were oxidative enzymes. However many capillaries were occluded, with thick basal membrane and abnormal endothelial cells and pericytes. No immunofluorescence was found with anti IgG or anti IgM in the muscle fibers. Intersticial spaces in the cross section of the muscle were enlarged. In conclusion, no evidence of autoimmune involvement was found in myositis ossificans progressiva, but alteracions of capillaries and muscle fibers were found in a muscle apparently not affected yet by the ossification process.