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Winners of the 2005 American college of rheumatology annual slide competition.

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Vol. 54, No. 3, March 2006, pp 690–691
DOI 10.1002/art.21792
© 2006, American College of Rheumatology
Winners of the 2005 American College of Rheumatology
Annual Slide Competition
American College of Rheumatology Audiovisual Aids Subcommittee
The Audiovisual Aids Subcommittee of the
American College of Rheumatology (ACR) has selected
the top 3 winning images and 7 honorable mention
images submitted to the 2005 Annual Slide Competition.
The images were chosen based on quality and relevance
to the collection and the field of rheumatology. A total
of 267 images were submitted to the 2005 Slide Competition, the most ever received for the annual event.
The winning slides include the first-place composite image of Lyme myositis (Figure 1), the secondplace clinical image of “strawberry gums” in Wegener’s
granulomatosis (Figure 2), and the third-place photomicrograph of macrophage activation syndrome in juvenile rheumatoid arthritis (Figure 3).
The honorable mention slides include images of
“Popeye’s sign” from a biceps tendon rupture (from
Scott Anderson, MD, PhD), a composite radiograph
comparing weight-bearing and non–weight-bearing
views of the knee in osteoarthritis (from Eric Gall, MD),
a case study of blastomycotic septic arthritis, Lucio
phenomenon in leprosy (both from Luis S. GuedesBarbosa, MD), early and advanced scleritis (from Gilbert Kepecs, MD), arthritis mutilans (from Gerald
Moore, MD), and a radiograph of untreated tophaceous
gout (from Steven J. Wees, MD).
These winning slides, as well as several others
submitted to the 2005 competition, will be included
in the next edition of the ACR Slide Collection on
the Rheumatic Diseases, currently available on CD
The Audiovisual Aids Subcommittee and the
ACR would like to congratulate this year’s winners and
thank everyone who submitted images to the 2005
competition. We encourage continued submissions of
high-quality images. The deadline for the 2006 competition is September 1. If you have any questions regarding the 2005 Slide Competition or future competitions,
please contact
Members of the Audiovisual Aids Subcommittee of the
American College of Rheumatology Committee on Education: Terry
M. Wolpaw, MD (Chair), Cleveland, Ohio; Alan N. Baer, MD,
Buffalo, New York; Eric P. Gall, MD, Chicago, Illinois; Marc L.
Miller, MD, Portland, Maine; Erika H. Noss, MD, Boston, Massachusetts; Kathleen M. O’Neil, MD, Oklahoma City, Oklahoma.
Submitted for publication December 20, 2005; accepted December 21, 2005.
Figure 1. Lyme myositis composite. The clinical image at the left
shows thigh and knee swelling. Both magnetic resonance images in the
center demonstrate diffuse T2 signal, primarily in the vastus intermedius muscle and to a lesser extent in the vastus lateralis and vastus
medialis. The photomicrograph on the right shows perimysial fibrosis
and a mild-to-moderate infiltrate with lymphocytes and macrophages.
Submitted by Aaron R. Holmgren, MD, Rochester, MN.
Figure 2. “Strawberry gums,” a variant of hyperplastic gingivitis, in a
patient with Wegener’s granulomatosis. Submitted by John H. Stone,
MD, MPH, Baltimore, MD.
Figure 3. Bone marrow core biopsy specimen from a 13-year-old child
with juvenile rheumatoid arthritis and macrophage activation syndrome. The photomicrograph shows small-to-large macrophages in the
marrow space, which contain phagocytosed erythrocytes, platelets, and
granulocyte debris within a background of normal hematopoietic
elements. Submitted by Darush Rahmani, DO, Tucson, AZ.
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