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Winners of the 1993 acr slide competition and future plans for the clinical slide collection on the rheumatic diseases.

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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.
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