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Winners of the 1984 slide competition.

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The American Rheumatism Association Audiovisual Aids Subcommittee regularly seeks slides to
consider for additions to the 1981 Revised Clinical
Slide Collection on the Rheumatic Diseases. To stimulate slide submission, the Subcommittee holds an
annual slide competition. The first competition was
held in 1983 (Block S, Audiovisual Aids Subcommittee
of the ARA Education Committee: Winners of the
1983 Slide Competition. Arthritis Rheum 27:456-458,
1984). We are pleased to present here the results of the
second annual competition.
During 1983 and early 1984, the Audiovisual
Aids Subcommittee received over 200 slides, most of
them from members of the ARA. In May 1984,7 slides
from this group were chosen as being deserving of
special recognition. These slides were displayed with
the slide collection exhibit and were presented at a
plenary session at the 1984 American Rheumatism
Association Annual Meeting in Minneapolis, Minnesota. They are reproduced in Figures 1-7.
By the time of the 1985 Annual Meeting of the
ARA, the winning slides of the 1983 and 1984 competitions, as well as other selected slides, will be assembled for sale as the first supplement to the 1981
Collection. Some slides will represent improvements
over those on the same subject currently in the Collection, but most will cover additional topics. This supplement, and future supplements, will include revised
Members of the Audiovisual Aids Subcommittee of the
American Rheumatism Association Education Committee: William
Beetham, MD; Sidney Block, MD: Chair; Joseph Croft, MD;
William Ginsburg, MD; Timothy Harrington, MD; Bernhard Singsen, MD.
Submitted for publication September 21, 1984; accepted
December 20, 1984.
Arthritis and Rheumatism, Vol. 28, No. 5 (May 1985)
syllabus pages for easy insertion into the Collection’s
looseleaf binder.
The Subcommittee also plans to have available
by the 1985 meeting a cassette tape rendition of the
Figure 1. Radiograph of a patient with Wegener’s granulomatosis.
Submitted by William Beetham, MD, Burlington, MA.
Figure 2. Tuberculosis wrist. Left: gross view. Right: radiograph.
Submitted by Joseph Croft, MD, Washington, DC.
Figure 3. Scleromalacia perforans. Submitted by Gene Hunder,
MD, Rochester, MN.
Figure 4. Radiographs of a patient with septic disc. Left: early. Right: late. Submitted by Richard McLeod, MD, Rochester, MN.
57 1
Figure 6. Subacute cutaneous lupus erythematosus. Submitted by
Richard Sontheimer, MD, Dallas, TX.
Collection are listed in the “wish list” (Table 2). The
lists are by no means complete, but the Subcommittee
hopes they will serve to stimulate readers to submit
slides for consideration.
The Audiovisual Aids Subcommittee appreciates the contributions made by the ARA membership.
The Subcommittee urges you to take and submit slides
or original radiographs. (Submit entries to Dr. Sidney
R. Block, Chair, American Rheumatism Association
Audiovisual Aids Subcommittee, Arthritis Foundation, 1314 Spring St. NW, Atlanta, GA 30309.) Also,
when you see good slides or radiographs made by
others, urge them to submit them. The Subcommittee
will return all original material not added to the
Collection. Original materials deemed worthy of inclusion will be retained for future best-quality reproduction, but the donors will receive as many first-production duplicates as they need.
Figure 5. Bone scan of a patient with hypertrophic pulmonary
osteoarthropathy. Submitted by Allen Segal, DO, Cleveland, OH.
syllabus to allow the student easier review of the
Collection in a dark room. The tape will operate with
automatic carousel and self-contained projection units
(e.g., caramate) designed to accept tone-keyed slide
advancement signals.
The Audiovisual Aids Subcommittee will continue upgrading the 1981 Revised Collection by replacing current slides with better ones (“hit list,” Table 1 )
and by adding new topics that should be covered.
Examples of desired slides that would expand the
Figure 7. Temporal arteritis. Submitted by Kenneth Wilske, MD,
Seattle, WA.
Table 1.
Hit list
Section 2: Rheumatoid arthritis
2-1 * Hand, fusiform swelling
2-3 Hand, inflammation (scan)
2-5 Hand, swan-neck deformity
2-6 Hand, boutonniere deformity
2-28 Subcutaneous nodule (microscopic)
2-42 Foot deformities
2-49 Hip, early erosions (x-ray)
2-57 Cervical spine, atlantoaxial subluxation (x-ray)
2-61 Mu ch clot test
Section 3: Juvenile rheumatoid arthritis
3-3 Micrognathia
Section 4: Spondylarthropathies
4-2 Ankylosing spondylitis: lumbar spine ankylosis, with
patient flexing
Section 5: Systemic lupus erythematosus
5-1 Butterfly rash, discoid type
Section 6: Dermatomyositis/polymyositis
6-2 Hand, edema and rash
Section 7: Scleroderma
7-2 Raynaud’s phenomenon: hands, cyanosis
7-10 Acrosclerosis
7-1 I Sclerodactyly and terminal digit resorption
Section 9: Vasculitis
9-3 Henoch-Schonlein syndrome: legs, purpura (prefer child’s
9-73 Kawasaki disease: skin and mucous membrane
9-74 Kawasaki disease: strawberry tongue
Section 1 1: Crystal-associated arthropathies
11-4 Gout: tophi, ear
Section 13: Degenerative diseases
13-14 Spondylosis: cervical vertebrae, foramina1 encroachment
13-15 Apophyseal disease: cervical vertebrae (x-ray)
13-5I Diffuse idiopathic skeletal hyperostosis: lumbar spine
13-53 Diffuse idiopathic skeletal hyperostosis: cervical spine
13-84 Knee, meniscus tear (arthrogram)
Section 14: Metabolic and primary bone diseases
14-1 Avascular necrosis: systemic lupus erythematosus, hips
14-19 Bone: osteomalacia (microscopic)
Section 16: Infiltrative and systemic disease
16-53 Shoulder-hand syndrome: hand, edema
16-54 Shoulder-hand syndrome: wrist, osteopenia
Section 17: Tumor-associated rheumatic syndromes
17-1 Hypertrophic pulmonary osteoarthropathy: fingers, clubbing
17-22 Leukemia: forearm, periostitis and osteopenia (X-ray)
* Numbers of current slides.
Table 2.
Wish list
Section 1: Normal
Arthrogram: knee
X-ray: hip, foot, hand, lumbosacral spine, pelvis
Section 2: Rheumatoid arthritis
Temporomandibular joint disease (x-ray)
“Bullseye” lesion of Plaquenil eye toxicity
Surgical exposure of median nerve compression
Section 3: Juvenile rheumatoid arthritis
Slit lamp view of iritis
Section 4: Spondylarthropathies
Psoriasis (bone scan)
Ankylosing spondylitis (bone scan)
Section 5: Systemic lupus erythematosus
Neonatal lupus erythematosus, skin lesions
Section 9: Vasculitis
Giant cell arteritis, scalp gangrene
Giant cell arteritis, tongue blanching
Weber-Christian disease (gross)
Lymphomatoid granulomatosis, skin lesions and pathology
Section 11: Crystal-associated arthropathies
Gout: arthroscopy
Section 12: Infectious arthritis
Psoas abscess (computed tomography scan)
Gonococcal arthritis (Gram stain joint fluid)
Joint fluid: normal/inflammatory/septic: comparison
Section 13: Degenerative diseases
Herniated disc (computed tomography scan)
Spinal stenosis (computed tomography scan)
Traumatic bursitis
Section 14: Metabolic and primary bone diseases
Paget’s disease: skull, long bone, pelvis (x-ray)
Paget’s disease (bone scan)
Osgood-Schlatter disease (x-ray and clinical)
Section 15: Heritable disorders of connective tissue
Marfan’s syndrome
Section 17: Tumor-associated rheumatic syndromes
Osteoid osteoma (x-rayltomograrniscan)
Metastatic cancer (scan)
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winner, 1984, slider, competition
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