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Winners of the 2004 American College of Rheumatology Annual Slide Competition.

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Vol. 52, No. 3, March 2005, pp 679–680
DOI 10.1002/art.20959
© 2005 American College of Rheumatology
Arthritis & Rheumatism
An Official Journal of the American College of Rheumatology and
Winners of the 2004 American College of Rheumatology
Annual Slide Competition
Marc L. Miller and the ACR Audiovisual Aids Subcommittee
portrays Ehlers-Danlos syndrome, type IV. They will
receive one copy of the ACR Clinical Slide Collection in
35-mm slide format and one copy in CD-ROM format.
The Audiovisual Aids Subcommittee would also
like to acknowledge the following individuals for submitting outstanding medical images: Michael R. Cannon,
MD and Claire Coggins, MD, Richmond, Virginia (osseous sarcoidosis), Vaidehi Chowdhary, MD, Rochester,
Minnesota (rheumatoid pachymeningitis), Luiz Sergio
Guedes Barbosa, MD, PhD, Cuiaba, Brazil (spondylodiscitis and spinal osteomyelitis), Meenakshi Jolly, MD,
MS and Bansari Shah, MD, Oaklawn, Illinois (antiphospholipid antibody syndrome), Brian J. Keroack, MD,
Portland, Maine (neonatal lupus erythematosus), Carolina Landolt-Marticorena, MD, PhD, Toronto, Ontario,
Canada (melorheostosis), and Bricia Toro, MD,
Brownsville, Texas (arthrogryposis).
The same prizes as described above will be
offered for the 2005 Annual Slide Competition: meeting
registration and hotel reservations will be for the 2006
ACR Annual Scientific Meeting in Washington, DC.
Rules and entry details are available on the ACR Web
site, Submissions must be received by September 1, 2005. All submissions received
after this date will be considered for the 2006 Annual
Slide Competition.
The American College of Rheumatology (ACR)
Annual Slide Competition received 160 submissions in
2004. There were many excellent images, presenting the
Audiovisual Aids Subcommittee with the difficult task of
selecting 3 winning slides and 7 additional slides worthy
of honorable mention. Congratulations to the 2004
Jennifer Elliot, MD, won first place in the competition for her image of a broken silastic implant and
silicone synovitis. Dr. Elliot will receive one complimentary registration to the 2005 ACR Annual Scientific
Meeting in San Diego, November 12–17, plus hotel
reservations for 4 nights during the meeting.
The second-place winner was Peter D. Kent, MD,
who submitted a slide illustrating nonbacterial thrombotic endocarditis. Dr. Kent will receive complimentary
registration to the 2005 ACR Annual Scientific Meeting.
Third place was awarded to Angélica Peña, MD
and Luis J. Jara, MD. The entry from Drs. Peña and Jara
Members of the Audiovisual Aids Subcommittee of the
American College of Rheumatology Committee on Education: Marc
L. Miller, MD (Chair), Portland, Maine; Alan Baer, MD, Buffalo, New
York; Eric P. Gall, MD, Chicago, Illinois; Steven R. Weiner, MD, Van
Nuys, California; Terry M. Wolpaw, MD, Cleveland, Ohio.
Submitted for publication December 16, 2004; accepted December 16, 2004.
Figure 1. Silastic implant and silicone synovitis. The upper right
image shows the hand of a patient with longstanding rheumatoid
arthritis and bilateral metacarpophalangeal silastic implants who developed acute swelling of the proximal aspect of the third finger. The
radiograph of the same hand shows an expansile destructive process
affecting the proximal phalanx of the third finger and a fractured
silastic implant of the third metacarpophalangeal joint. The intraoperative photograph at the lower right shows friable tissue and a piece
of the broken implant. An inflammatory infiltrate with giant cells
consistent with silicone synovitis was seen on histopathologic analysis.
Submitted by Jennifer Elliot, MD, Pittsburgh, PA.
Figure 2. Nonbacterial thrombotic endocarditis. The upper panel
shows an intraoperative superior view of the aortic valve of a 17-yearold female patient with primary antiphospholipid syndrome, in whom
aortic valve replacement was required due to noninfectious thrombotic
endocarditis. The thrombotic deposits are seen along the edge of the
valve leaflet. The photomicrograph in the lower panel demonstrates
the organizing thrombus, without evidence of infection (hematoxylin
and eosin stained; low power). Submitted by Peter D. Kent, MD,
Rochester, MN.
Figure 3. Ehlers-Danlos syndrome, type IV. The angiogram on the
left shows multiple renal aneurysms (arrows) and a fusiform distal
aortic aneurysm in a 19-year-old man with Ehlers-Danlos syndrome,
type IV. The left kidney is poorly visualized due to a thrombosed renal
artery. The angiogram on the right, from the same patient, demonstrates multiple aneurysms of the iliac arteries. Submitted by Angélica
Peña, MD and Luis J. Jara, MD, Mexico City, Mexico.
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