Winners of the 1995 ACR slide competition and future plans for the clinical slide collection on the rheumatic diseases.код для вставкиСкачать
ARTHRITIS & RHEUMATISM Vol. 38, No. 12, December 1995, pp 1733-1734 0 1995, American College of Rheumatology 1733 WINNERS OF THE 1995 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 1994-1995 slide competition (Figures 1-5). These include a clinical depiction of severe psoriasis and oligoarticular arthritis in the hand of a patient with human immunodeficiency virus, a photomicrograph of multiple giant cells lining up along the internal elastic lamina in a patient with giant cell arteritis, a radiograph of the knees of a patient with osteopoikilosis, a clinical depiction of bilateral dactylitis and granulomatous skin lesions in a patient with sarcoidosis, and a photomicrograph of fibrinoid necrosis with eosinophilic infiltration in a sural nerve biopsy specimen from a patient with Churg-Strauss syndrome. We are grateful to all of the members who have taken the time and energy to submit slides and suggestions, and we urge you to continue. In 1995, the syllabus to the Clinical Slide Collection was completely rearranged. The reasons for reorganization are threefold: 1) to allow for the incluMembers of the Audiovisual Aids Subcommittee of the Education Committee of the American College of Rheumatology: Michael J. Maricic, MD, Chair; Dennis W. Boulware, MD; Eric L. Matteson, MD; S . Ray Mitchell, MD; Thomas A. Pressly, MD. sion of the new slides from the I994 Clinical Supplement, 2) to redirect slides to new sections (sections on Diagnostic Approach to Arthritis, Clinical Immunology, Soft-Tissue Rheumatic Syndromes, Conditions Related to Injury, and Rheumatic Manifestations of Systemic Diseases have been added), and 3) to optimize the use of the collection as a teaching tool. Each section is now “clinically” structured. For each particular disorder, the slides are ordered by starting with definition andor classification, progressing to clinical, radiographic, and pathologic findings, and ending with treatment slides where applicable. Hopefully, this new structure will allow the collection to be used more easily as a stand-alone teaching tool for students, residents, and fellows. The Subcommittee is planning a clinical supplement on pediatric rheumatology to be released at the October 1996 national meeting of the American College of Rheumatology. We would appreciate submission of slides for this supplement. Please submit your slides and suggestions to the incoming Chair of the Audiovisual Aids Subcommittee: Eric L. Matteson, MD, Mayo Clinic, 200 First Street SW, Rochester MN, 55905. Figure 1. Human immunodeficiency virus infection. The patient’s hand reveals synovitis of the second and third metacarpophalangeal joints and chronic ankylosis of the fifth proximal interphalangeal joint. Psoriaform lesions in multiple different stages cover the skin, and the nails reveal onycholysis and subungual keratosis. Submitted by Edward Ford, Minneapolis, MN. Figure 2. Giant cell arteritis. A photomicrograph reveals multiple giant cells lining up near the internal elastic lamina. Submitted by Nancy A. Brown and Robert W. McMurray, Columbia, MO. Figure 3. Osteopoikilosis. A radiograph of the knees displays numerous small, well-defined, homogeneous circular or ovoid radiodense foci. Submitted by Frank C. Amett, Houston, TX. Figure 4. Sarcoidosis, The patient’s hands exhibit bilateral dactylitis along with chronic granulomatous skin lesions. Submitted by Audrey Nelson, Rochester, MN. Figure 5. Churg-Strauss syndrome. A photomicrograph of a sural nerve: biopsy specimen reveals fibrinoid necrosis along with mononuclear and eosinophilic cell infiltration. Submitted by W. Joseph McCune and Kyle A. Carr, Ann Arbor, MI.