“…The inflammatory infiltrates consist of CD8+ T cells and macrophages, suggesting involvement of a T cell mediated cytotoxic mechanism against muscle fibres 10 . Although we could not perform techniques for amyloid, as specific antibodies against beta amyloid or immunocytochemical analysis and ultrastructure techniques, the morphological changes seen in our case, particularly the lymphocytic infiltration and the rimmed vacuoles, although non-specific, are highly suggestive of IBM.…”