Merve, A., Schneider, U., Kara, E., Papadopoulou, C., & Stenzel, W. (2022). Muscle biopsy in myositis: What the rheumatologist needs to know. Best practice & research. Clinical rheumatology, 36(2), 101763. https://doi.org/10.1016/j.berh.2022.101763
Hameed S, Tadi P. Myoclonic Epilepsy and Ragged Red Fibers. [Updated 2023 Jul 16]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK555923/#
G-Biosciences. (2024). Gomori Trichrome Stain. https://www.gbiosciences.com/Protein-Research/Histology_Cytology_Reagents/Gomori_Trichome_Stain?srsltid=AfmBOooWS2hHB_bjL2EH-GmX3zovfRk_xOvstgyUIlVAZR7IuARbgUad
The Gömöri stain is hazardous, causing skin corrosion/irritation, serious eye damage/irritation. Further, the Gömöri stain is a single exposure toxin to the respiratory system. It is reccomended you wear lab goggles, gloves, and a mask/respirator.
If inhaled, go outside and breathe fresh air. If symptoms arise, call a doctor and/or poison control. If in contact with skin, wash with soap and water and remove affected clothing items. If symptoms arise, call a doctor. If in contact with eyes, wash with water, removing contacts if present. If symptoms arise, call a doctor.
Black:
Nuclei
Red:
Cytoplasm
Muscle fibers
Blue:
Collagen
Important sidebar:
The red color in a stained muscle sample can be indicative of red-ragged fibers, and suggest a possible MERRF diagnosis. However, not all red coloration can be attributed to red-ragged fibers- use caution when interpreting micrograph results.
Yoshida K. (1997). [Hokkaido igaku zasshi] The Hokkaido journal of medical science, 72(2), 163–180.
Mrachek, K. (2021) Modified Gomori Trichrome (MGT). Arkana Laboratories. https://www.arkanalabs.com/modified-gomori-trichrome/
Goto, Masahide & Okada, Mari & Komaki, Hirofumi & Sugai, Kenji & Sasaki, Masayuki & Noguchi, Satoru & Nonaka, Ikuya & Nishino, Ichizo & Hayashi, Yukiko. (2014). A nationwide survey on Marinesco-Sj??gren syndrome in Japan. Orphanet journal of rare diseases. 9. 58. 10.1186/1750-1172-9-58.
Koo, Sophia & Sutton, Deanna & Yeh, Wendy & Thompson, Elizabeth & Sigler, Lynne & Shearer, Judy & Hofstra, Deborah & Wickes, Brian & Marty, Francisco. (2012). Invasive Mycoleptodiscus fungal cellulitis and myositis. Medical mycology : official publication of the International Society for Human and Animal Mycology. 50. 740-5. 10.3109/13693786.2012.656717.
Mansour, Hicham & Ahdab-Barmada, Mamdouha & Diab, Nabil & Ghandour, Fatmeh & Sokhn, Maroun. (2018). Celiac Disease Overlooked in a Patient With Becker Muscle Dystrophy. Journal of Emerging and Rare Diseases. 1. 10.31021/jerj.20181107.