Winners of the 2004 American College of Rheumatology Annual Slide Competition.код для вставкиСкачать
ARTHRITIS & RHEUMATISM 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 www.arthritisrheum.org and www.interscience.wiley.com 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, www.rheumatology.org. 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 winners: 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. 679 680 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. MILLER ET AL 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.