Winners of the 19891990 ACR slide competition and future plans for the revised clinical slide collection on the rheumatic diseases.код для вставкиСкачать
1442 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 1443 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.