Submit a case-based image for peer-review and display at ACR Convergence, the ACR's annual meeting. If accepted, your image will be digitally displayed at the meeting and added to the ACR Rheumatology Image Library collection. One image will be selected as the winner of the Image Competition and published in the Arthritis & Rheumatology journal. The winner will receive complimentary registration to ACR Convergence 2022.
If your image is accepted, it will be displayed during ACR Convergence and added to the Rheumatology Image Library.
In addition, prizes for the following categories will be awarded.
Best Overall Image
Regional Winners Circle
One contributor from each region* listed below will be added to the Regional Winners Circle. The Regional Winners Circle will be highlighted during the ACR Convergence 2022 – Plenary I, receive complimentary registration to ACR Convergence 2022, be eligible to win the 2022 People's Choice Award, plus the opportunity to be featured as the Image of Month in The Rheumatologist.
*These regions are defined by the World Bank.
The People's Choice Award will showcase the seven regional winners, representing the global rheumatology community. The People's Choice Award winner will be selected during ACR Convergence 2022 and receive a $1,000 cash prize.
Image Competition submission is closed. The ACR will send notification of acceptance/rejection in late August.
Who is eligible to submit an image
ACR and ARP members and non-members are eligible to submit an image.
Images that are eligible for submission
The ACR seeks images representing a diverse range of patients that show either characteristic or unusual manifestations of the rheumatic disease in the following categories:
Images that are not eligible for submission
See the Image Competition Guidelines.
See the Key Dates section for the full timeline.
See information about the use of Rheumatology Image Library images, including the annual meeting embargo policy.
Rheumatology Image Library Policies
Patient Authorization and Release Form
Congratulations to the following individuals for their outstanding submissions to the Image Competition!
Grand Prize - Santhanam Lakshminarayanan, MD, Farmington, CTCutaneous Manifestations of DermatomyositisA 32-year-old African American 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 (Mechanic's hands), post-inflammatory hypopigmentation on the MCP joints, PIP joints and DIP joints, Gottron's sign over PIP joints and elbow, periungal infarcts and hyperkeratosis of feet (Hiker's feet).
Grand Prize - Aleksandra Bukiej, MD, Chicago, IL
Cutaneus BlastomycosisA 32-year old woman presented with a new skin lesion on her face. Four months previously, the patient was diagnosed with Behcet disease based on pulmonary embolism, inflammatory arthritis, oral ulcers, and a positive pathergy test. She was treated with adalimumab, with full resolution of the arthritis and aphthous ulcers, however, one month after beginning therapy, she noticed skin lesion on her left cheek (Figure 1). The lesion was scraped for fungal culture, which was positive for Blastomyces dermatidis and was confirmed by DNA probes. The patient was treated with itraconazole and had improvement by 4-months follow up (Figure 2).
Grand Prize - Tara McGrath, MD, British Columbia, Canada
Not Just a Disease of Ancient 'C-farers': A Case of Scurvy Presenting as Knee Pain and Refusal to Walk in a Developmentally Normal Toddler
Grand Prize - Manjinder Kaur, DO, Tucson, AZ
Thoracic Immunoglobulin G4 (IgG4)-Aortitis: Chest
Grand Prize - Koji Takasugi, MD, Nagoya, Japan
Polyarteritis Nodosum (PAN), Coronary and Other Aneurysms
Still Image - Nibha Jain, MD, Ahmedbad, India
Hypertrophic Osteoarthropathy: Pachydermia (“Bull-Dog” Appearance)
Case Study - Laura Tasan, MD, Pittsburgh, PA
Rosai-Dorfman Disease: Nodal and Extranodal Disease
Grand Prize - Giorgio Treglia, MD, Bellinzona, Switzerland
3-Dimensional Volume Rendering 18-Fludeoxyglucose-Positron Emission Tomography in Large Vessel Vasculitis
Still Image - Ernest Brahn, MD, Los Angeles, CA
Environmental Electron Microscopic Image of Articular Cartilage
Case Study - Cuoghi Edens, MD, Cleveland, OH
Palmoplantar Psoriasis and Psoriatic Arthritis in a Toddler Before and After Treatment with Infliximab
Grand Prize - Olga Goodman, Houston, TX
Spinal Cord Compression from Tophaceus Gout
Still Image - Karim Masri, MD, Baltimore, MD
IgA Nephropathy: Mesenteric Vasculitis
Case Study - Matthew Koster, MD, Rochester, MN
Atypical Swollen Hand: Mycobacterium Arupense Infection