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Winners of the 19891990 ACR slide competition and future plans for the revised clinical slide collection on the rheumatic diseases.

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SPECIAL ARTICLE
WINNERS OF THE 1989-1990 ACR SLIDE COMPETITION AND FUTURE
PLANS FOR THE REVISED CLINICAL SLIDE COLLECTION ON THE
RHEUMATIC DISEASES
WILLIAM W. GINSBURG and the ACR AUDIOVISUAL AIDS SUBCOMMITTEE
The American College of Rheumatology Audiovisual Aids Subcommittee is pleased to present the
winners of the 1989-1990 slide competition (Figures
1-6). These include depictions of a left atrial myxoma
demonstrated anatomically, histologically, and echocardiographically, a marginal corneal furrow secondary to rheumatoid arthritis, a synovial fluid specimen
demonstrating simultaneous pseudogout and septic
arthritis, Dupuytren’s cclntracture, and chronic deforming rheumatoid arthritis of the hands. We thank
the members who have submitted slides and made
suggestions over the last year, and we encourage you
to keep them coming. We welcome examples of rare
diseases, as well as of common conditions that illustrate good teaching points.
At the present time, the Subcommittee is working on integration of the entire slide collection to
include the 1981 Revised Clinical Slide Collection,
1985 clinical supplement, 1988 text supplement, and
Members of the Audiovisual Aids Subcommittee of the
Education Materials Committee of the Education Council of the
American College of Rheumatology: William W. Ginsburg, MD,
Chair; Sidney R. Block, MD; Joseph D. Croft, Jr., MD; Thomas M.
Harrington, MD; John Klippel, MD; Michael J. Maricic, MD.
Submitted for publication May 29, 1990; accepted June 6,
1990.
Arthritis and Rheumatism, Vol. 33, No. 9 (September 1990)
1989 radiology supplement. This integrated collection
will also contain approximately 45 new clinical, radiologic, and histologic slides, which will also be available
to be purchased separately for those individuals who
already have the earlier supplements.
Included among the new slides will be clinical
photographs of gouty arthritis, scrota1 ulcers and hypopyon in Behqet’s disease, Paget’s disease, scalp
necrosis in temporal arteritis, Jaccoud’s arthritis, linear scleroderma, and the swan neck deformities of
rheumatoid arthritis. Radiographic examples will include hemochromatosis, psoriatic arthritis, and neuropathic arthropathy . Histologic depictions of sural
nerve vasculitis, steroid myopathy, and myositis involving the myocardium will also be featured. Many of
these have been previous winners of the slide competition, and we are certain that they will improve the
slide collection: in most cases adding new material,
and in some cases replacing existing slides with better
examples.
We plan to have the integrated collection completed in the next year. A pediatric supplement is also
being considered for the future. Please submit your
best slides to William W. Ginsburg, MD, Department
of Rheumatology, Mayo Clinic, Rochester, MN 55905.
Your support is appreciated.
ACR SLIDE COLLECTION
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Figure 1. Gross anatomic specimen (left) and histologic section
(right) demonstrating a large left atrial myxoma. Submitted by
William D. Edwards.
Figure 2. Echocardiogram demonstrating a large left atrial myxoma. LV = left ventricle; RV = right ventricle; Ao = aorta; LA =
left atrium. Submitted by Roger L. Click.
Figure 3. kfi,Marginal corned furrow in a patient with rheumstoid arthritis. Right, Full-thickness corneal perforation, which OCcurred 3 days later. Submitted by James A. Gamty.
Figure 4. Simuhneous pseudogout and staphylococcal septic arthritis. Left, Gram Stah demonstrating gram-positive COCCi. A
calcium pyrophosphate dihydrate (CPPD) crystal is also present.
Middle and right, Polarization microscopy demonstrating CPPD
crystals (arrows). Submitted by Kenneth S. O’Rourke and W.
Joseph McCune.
Figure 5. Dupuytren’s contracture. Submitted by John R. McGill.
Figure 6. Chronic deforming rheumatoid arthritis with multiple
nodules. Submitted by G. Roy Diessner.
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