Winners of the 1993 acr slide competition and future plans for the clinical slide collection on the rheumatic diseases.код для вставкиСкачать
ARTHRITIS & RHEUMATISM Volume 36 Number 12, December 1993, pp 1748-1750 8 1993, American College of Rheumatology 1748 WINNERS OF THE 1993 ACR SLIDE COMPETITION AND FUTURE PLANS FOR THE CLINICAL SLIDE COLLECTION ON THE RHEUMATIC DISEASES MICHAEL J. MARICIC and the ACR AUDIOVISUAL AIDS SUBCOMMITTEE The American College of Rheumatology Audiovisual Aids Subcommittee is pleased to present the winners of the 1992-1993 slide competition (Figures 1-8). Due to the extraordinarily large number of quality submissions this year, the subcommittee has chosen 8 winners. These include histologic slides of inclusion body myositis and a large granular lymphocyte in Felty’s syndrome, and radiographs of Pagetic involvement of the skull and sclerodermatous involvement of the bowel. From the number of outstanding clinical slides we received, depictions of proptosis in Wegener’s granulomatosis, “mechanic’s hands” in dermatomyositis, hypopyon and an irregular pupil secondary to synechiae in juvenile rheumatoid arthritis, and bilateral scalp necrosis in giant cell arteritis were selected. We sincerely thank all of the ACR members who have taken the time and energy to submit slides and suggestions. We are pleased that we continue to receive a number of submissions from our international colleagues. Although none were chosen as winners of the annual competition this year, a number were selected for inclusion into the next supplement. We are again deeply indebted to these members for their interest and effort. The next supplement to the Clinical Slide Collection, projected to contain 50-75 slides, is planned for late 1994. A “wish list” of slides that are “missing” from the present collection and could make it an Members of the Audiovisual Aids Subcommittee of the Education Materials Committee of the Education Council of the American College of Rheumatology: Michael J. Maricic, MD, Chair; Sidney R. Block, MD; Thomas M. Hanington, MD; Eric L. Matteson, MD; S. Ray Mitchell, MD. Submitted for publication September 9, 1993; accepted September 9, 1993. even more complete and effective teaching tool was published earlier this year in ACR News. There was an outstanding response from the membership, which will help us to meet the goal of improving the collection. A number of slides sent in over the last 2 years, although not selected as winners of the annual competition, have been chosen by the subcommittee for this supplement. We are still looking for slides on a number of topics including Rheumatoid arthritis: lateral and posterior subluxation of the cervical spine (radiographs), pericarditis (radiograph or echo), and popliteal cyst (ultrasound) Systemic lupus erythematosus: discoid lesions and red blood cell casts Polyarteritis nodosa: digital and bowel infarction Sjogren’s syndrome: pseudolymphoma or lymphoma Kawasaki disease: strawberry tongue and rash Crystal arthropathies: calcium hydroxyapatite crystals (alizarin red stain and electron microscopy), Milwaukee shoulder (radiograph), and hemodialysis spondylarthropathy (radiograph) Hereditary disorders of connective tissue: Marfan’s syndrome, Ehlers-Danlos syndrome, and osteogenesis imperfecta (clinical and radiographs) We are very excited about the quality and clinical utility of the slides thus far chosen for the 1994 supplement. We strongly encourage ACR members to continue to submit slides as we strive to update and improve on what many consider to be the world’s preeminent clinical rheumatology slide collection. Please submit your slides and suggestions to Michael J. Maricic, MD, University of Arizona Health Science Center, 1501 N. Campbell, Tucson, AZ 85724. ACR SLIDE COLLECTION 1749 Figure 3. “Mechanic’s hands” in a patient with dermatomyositis. Submitted by Frederick W. Miller, Bethesda, MD. Figure 1. Proptosis in a patient with Wegener’s granulomatosis. Submitted by Arthur Weinstein, Valhalla, NY, with credit to the late Metro Ogryzlo. Figure 2. Photomicrograph of a large granular lymphocyte in a patient with Felty’s syndrome. Submitted by Gordon A. Starkebaum, Seattle, WA. Figure 4. Radiograph showing large-mouth diverticulae in a patient with scleroderma, revealed on barium enema. Submitted by Monica Luchi, Philadelphia, PA. 1750 MARICIC Figure 5. Trichrome-stained muscle biopsy specimen from a patient with inclusion body myositis. Submitted by Lori A. Love and Frederick W.Miller, Bethesda, MD. Figure 7. The eye in a child with juvenile rheumatoid arthritis, demonstrating a hypopyon and an irregular pupil secondary to synechiae between the lens and iris. Submitted by Audrey M. Nelson and James A. Gamty, Rochester, MN. Figure 6. Bilateral scalp necrosis in a patient with giant cell arteritis. Submitted by Gilbert J. Putnoky, Loma Linda, CA. Figure 8. Radiograph showing Paget’s disease of the skull. Submitted by Catherine M. Meyer and Abe Goldbaum, Chicago, IL.