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Winners of the 2007 american college of rheumatology annual slide competitionAmerican college of rheumatology audiovisual aids subcommittee.

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Vol. 58, No. 3, March 2008, pp 908–909
DOI 10.1002/art.23393
© 2008, American College of Rheumatology
Winners of the 2007 American College of Rheumatology
Annual Slide Competition
American College of Rheumatology Audiovisual Aids Subcommittee
The American College of Rheumatology (ACR)
Audiovisual Aids Subcommittee is pleased to present
the winners of the 2007 Annual Slide Competition. This
year’s competition was the largest ever, with almost 400
images submitted. Among the submissions were images
depicting Charcot arthropathy, histiocytosis X, central
nervous system vasculitis, psoriatic arthritis, and juvenile
dermatomyositis. Each submitted image was meticulously evaluated not only for possible selection as a
competition winner, but also for possible inclusion in the
ACR Slide Collection on the Rheumatic Diseases.
The 2007 overall competition winner was a
colonoscopy image of intestinal Henoch-Schönlein purpura (Figure 1). A slide showing the evolution of heart
block in sarcoidosis (Figure 2) was selected as the case
study winner. In the still image category there was a
first-place tie between radiographic images of Charcot
arthropathy (Figure 3) and a histologic depiction of
urate nephropathy (Figure 4). A slide showing osteolysis
with detritic synovitis (Figure 5) received third place.
The ACR encourages the continued submission
of high-quality images to the competition. Prizes for the
winning slides include complimentary registration for
the annual meeting, complimentary hotel accommodations for the annual meeting, and copies of the slide
collection, and the winning slides are published in
Arthritis & Rheumatism. The Audiovisual Aids Subcommittee is targeting particular images to enhance the
slide collection; the wish list can be found at http://www. If
you have quality images that illustrate findings included
in the wish list or other interesting rheumatologic conditions, please join the 2008 competition; the deadline
for submission is September 1, 2008. If you have any
questions regarding the slide competition, 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; Brian E. Daikh, MD, Portland, Maine; Eric P.
Gall, MD, Chicago, Illinois; Erika H. Noss, MD, Boston, Massachusetts; Kathleen M. O’Neill, MD, Oklahoma City, Oklahoma; Jennifer
Trizuto, MPT, San Mateo, California (Association of Rheumatology
Health Professionals representative).
Submitted for publication December 17, 2007; accepted December 18, 2007.
Figure 1. Intestinal Henoch-Schönlein purpura: colonoscopy.
Purpuric erythematous mucosal changes are seen on this endoscopic
image of a child’s colon. Submitted by Karyl Barron, MD, Bethesda,
Figure 2. Sarcoidosis: evolution of a heart block (composite). Arrows on
the photomicrographs indicate multinucleated giant cells. The series of
electrocardiograms demonstrates the progressive evolution of heart block.
Submitted by Irina Rakylar, MD, Washington, DC.
Figure 3. Charcot arthropathy (composite). Neuroarthropathy is seen
in the wrist, marked by osseous resorption, carpal malalignment, and
flattening and sclerosis of the distal aspect of the radius and ulna. Note
the syrinx in the thoracic spinal cord. Submitted by Rupert Abdalian,
MD, Toronto, Ontario, Canada.
Figure 4. Urate nephropathy: photomicrograph. Precipitated uric acid is
seen as washed-out areas on this hematoxylin and eosin–stained specimen. Submitted by Simon Chatfield, MD, Parkville, Victoria, Australia.
Figure 5. Osteolysis with detritic synovitis (composite). Note the
soft tissue swelling of the distal aspects of the fingers in the clinical image. The radiograph shows band-like resorption of the tufts
of the distal phalanges. Submitted by Lester Miller, MD, Santa
Cruz, CA.
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