Winners of the 2005 American college of rheumatology annual slide competition


  • American College of Rheumatology Audiovisual Aids Subcommittee

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    • Terry M. Wolpaw, MD (Chair), Cleveland, Ohio; Alan N. Baer, MD, Buffalo, New York; Eric P. Gall, MD, Chicago, Illinois; Marc L. Miller, MD, Portland, Maine; Erika H. Noss, MD, Boston, Massachusetts; Kathleen M. O'Neil, MD, Oklahoma City, Oklahoma

The Audiovisual Aids Subcommittee of the American College of Rheumatology (ACR) has selected the top 3 winning images and 7 honorable mention images submitted to the 2005 Annual Slide Competition. The images were chosen based on quality and relevance to the collection and the field of rheumatology. A total of 267 images were submitted to the 2005 Slide Competition, the most ever received for the annual event.

The winning slides include the first-place composite image of Lyme myositis (Figure 1), the second-place clinical image of “strawberry gums” in Wegener's granulomatosis (Figure 2), and the third-place photomicrograph of macrophage activation syndrome in juvenile rheumatoid arthritis (Figure 3).

Figure 1.

Lyme myositis composite. The clinical image at the left shows thigh and knee swelling. Both magnetic resonance images in the center demonstrate diffuse T2 signal, primarily in the vastus intermedius muscle and to a lesser extent in the vastus lateralis and vastus medialis. The photomicrograph on the right shows perimysial fibrosis and a mild-to-moderate infiltrate with lymphocytes and macrophages. Submitted by Aaron R. Holmgren, MD, Rochester, MN.

Figure 2.

“Strawberry gums,” a variant of hyperplastic gingivitis, in a patient with Wegener's granulomatosis. Submitted by John H. Stone, MD, MPH, Baltimore, MD.

Figure 3.

Bone marrow core biopsy specimen from a 13-year-old child with juvenile rheumatoid arthritis and macrophage activation syndrome. The photomicrograph shows small-to-large macrophages in the marrow space, which contain phagocytosed erythrocytes, platelets, and granulocyte debris within a background of normal hematopoietic elements. Submitted by Darush Rahmani, DO, Tucson, AZ.

The honorable mention slides include images of “Popeye's sign” from a biceps tendon rupture (from Scott Anderson, MD, PhD), a composite radiograph comparing weight-bearing and non–weight-bearing views of the knee in osteoarthritis (from Eric Gall, MD), a case study of blastomycotic septic arthritis, Lucio phenomenon in leprosy (both from Luis S. Guedes-Barbosa, MD), early and advanced scleritis (from Gilbert Kepecs, MD), arthritis mutilans (from Gerald Moore, MD), and a radiograph of untreated tophaceous gout (from Steven J. Wees, MD).

These winning slides, as well as several others submitted to the 2005 competition, will be included in the next edition of the ACR Slide Collection on the Rheumatic Diseases, currently available on CD ROM.

The Audiovisual Aids Subcommittee and the ACR would like to congratulate this year's winners and thank everyone who submitted images to the 2005 competition. We encourage continued submissions of high-quality images. The deadline for the 2006 competition is September 1. If you have any questions regarding the 2005 Slide Competition or future competitions, please contact