Winners of the 1991 ACR Slide Competition and Future Plans for the Revised Clinical Slide Collection on the Rheumatic Diseases.код для вставкиСкачать
1185 SPECIAL ARTICLE WINNERS OF THE 1991 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 1991 slide competition (Figures 1-6). These include slides of two diseases that can mimic vasculitis: Subacute bacterial endocarditis is demonstrated in an anatomic specimen of the mitral valve, and cholesterol microemboli are seen on funduscopy. Other winners include a radiograph demonstrating a supraacetabular insufficiency fracture, gouty arthritis with tophaceous deposits, the rash of neonatal lupus, and diffuse cytoplasmic antibodies to neutrophil cytoplasmic antigens (c-ANCA) in a patient with Wegener’s granulomatosis. We are continuing to add to the collection and welcome slides and any suggestions for its improvement. 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 31, 1991; accepted June 3, 1991. Arthritis and Rheumatism, Vol. 34,No. 9 (September 1991) The 1981 Revised Clinical Slide Collection with its three supplements (1985 clinical supplement, 1988 text supplement, and 1989 radiology supplement) has grown to approximately 700 slides. These are being combined into a 1991 integrated collection which incorporates all of the slides into a unified compilation. An index has been added, and the collection will be packaged in a new slide holder, which will facilitate storage and reviewing of slides. A 1991 supplement of 58 slides is included in the integrated collection. These slides consist of radiographs, clinical photographs, and photomicrographs of various rheumatic conditions; the 1991 winners are included. The 1991 clinical supplement can be purchased separately by individuals who already have the rest of the collection. Beginning in November 1991, Dr. Michael Maricic will chair the Audiovisual Aids Subcommittee. Slides and suggestions should be sent to him at the Department of Rheumatology , University of Arizona Health Science Center, 1501 North Campbell, Tucson, AZ 85724. 1186 ACR SLIDE COLLECTION Figure 1. Multiple cholesterol microemboli seen on funduscopic examination, in a patient with a pseudovasculitic syndrome. Submitted by James A. Garrity. Figure 2. Supraacetabular insufficiency fracture. Submitted by Richard McLeod. Figure 3. Characteristic rash of neonatal IUDUS. Submitted by Margot Peters. (Reproduced, with permission, from Maynard B, Leiferman KM, Peters MS: Neonatal lupus erythematosus syndrome. Journal of Cutaneous Pathology 18(5), 1991. Copyright 1991, Munksgaard International Publishers Ltd., Copenhagen.) Figure 5. Subacute bacterial endocarditis. Numerous vegetations are present on the mitral valve in this patient, who had symptoms mimicking vasculitis. Submitted by William D. Edwards. Figure 4. Gouty arthritis with marked tophaceous deposits. Submitted by G . Roy Diessner. Figure 6. Positive c-ANCA in a patient with Wegener’s granulomatosis. Submitted by U. Specks and Richard DeRemee.