Video: Every Case Tells a Story| Webinar: ACR/CHEST ILD Guidelines in Practice

An official publication of the ACR and the ARP serving rheumatologists and rheumatology professionals

The ACR Image Competition 2021 Results: Best Overall

Santhanam Lakshminarayanan, MD; IMAGE FROM NORTH AMERICA  |  Issue: March 2022  |  

Best Overall: Cutaneous Manifestations of Dermatomyositis

These images, submitted by Santhanam Lakshminarayanan, MD, associate professor of medicine in the Division of Rheumatology the University of Connecticut School of Medicine, Farmington, show a 32-year-old Black woman with classic cutaneous manifestations of dermatomyositis: heliotrope rash; periorbital edema with complete closure of the eyes; erythema nodosum on the lower extremity overlying the tibia; hyperkeratosis of hands (i.e., mechanic’s hands); post-inflammatory hypopigmentation on the metacarpophalangeal (MCP) joints, proximal interphalangeal (PIP) joints and distal interphalangeal (DIP) joints; Gottron’s sign over the PIP joints and elbow; periungal infarcts; and hyperkeratosis of feet (i.e., hiker’s feet).

 

ADVERTISEMENT
SCROLL TO CONTINUE

About the Contest

The Rheumatology Image Library is a highly accessed teaching resource. However, images showing manifestations of rheumatic disease on skin of color are under-represented, creating a significant educational gap. The 2021 Image Competition, held in conjunction with ACR Convergence 2021, encouraged the global rheumatology community to submit images that will help healthcare providers identify rheumatic disease manifestations in skin of color. Here, we depict the image selected as the Best Overall. In coming issues, we’ll publish the People’s Choice and winning images from six regions across the world.

ADVERTISEMENT
SCROLL TO CONTINUE

Related Articles

    Sonographic Diagnosis of Knuckle Pads

    The Case A 56-year-old white woman was evaluated for a one-year history of painless bumps on the dorsal aspect of the proximal interphalangeal (PIP) joints of both hands and suspected flexor tenosynovitis in her palms. On examination, small cystic nodules without erythema or tenderness were present on the dorsal aspect of several PIP joints (see…

    Cancer-Associated Myositis: A Case Report & Review of the Literature

    Cancer-Associated Myositis: A Case Report & Review of the Literature

    Since it was first reported in 1916, a correlation between inflammatory myopathies and cancer has been noted in several studies. Population studies have confirmed this relationship, and the phrase cancer-associated myopathy has entered the vernacular. Over the past decade, research efforts have shifted toward revealing associations between autoantibodies and clinical phenotypes. One subset of auto-antigens…

    crystal light / shutterstock.com

    Rheumatology Case Report: Hand Abnormalities Feature of Fetal Hydantoin Syndrome

    Research has shown that anticonvulsants are teratogens and pose a risk for fetal malformations. Meadow was the first to note a possible link between congenital abnormalities and maternal use of anticonvulsive drug in 1968.1 In 1974, Barr et al noted hypoplasia and irregular ossification of the digital distal phalanges with nail dystrophy in children born to…

    Oksana Shufrych TKTK / Shutterstock.com

    Heated Gloves May Improve Hand Function in Diffuse Systemic Sclerosis

    Systemic sclerosis (SSc), a subtype of scleroderma, is a rare, complex autoimmune disease characterized by widespread vasculopathy of the small arteries and fibroblast dysfunction.1,2 It has been described as a fibrosing micro­vascular disease, because vascular injury precedes and leads to tissue fibrosis.3 The resulting Raynaud’s phenomenon, pain, skin thickening and tightening, and multi-organ involvement have…