Image Competition

Image Competition

As part of the ACR's pledge to be a leader for inclusion and change for our members, our trainees, our staff, and our patients, we're holding a special Image Competition in conjunction with ACR Convergence 2021.

The 2021 ACR Image Competition is dedicated exclusively to images of rheumatic disease in skin of color.

The Rheumatology Image library is a highly accessed teaching resource, and the underrepresentation of skin of color represents a significant educational gap. We encourage the global rheumatology community to submit images that will help healthcare providers identify rheumatic disease manifestations in skin of color.

Image Competition News

Image Competition submission is closed. The ACR will send notification of acceptance/rejection in late August.

Accepted images will be displayed during ACR Convergence 2021 and added to the Rheumatology Image Library.


Update: In our efforts to remain consistent with prior Image Competition policy and stay focused on this year’s primary goal of growing our library of images representing rheumatic disease in skin of color, we have decided to remove the monetary award. The ACR received feedback which contributed to this decision. We greatly appreciate your participation in this important initiative to help close this gap.

If your image is accepted, it will be displayed during ACR Convergence 2021 and added to the Rheumatology Image Library.

In addition, prizes for the following categories will be awarded.

Best Overall Image

  • Published in an issue of Arthritis & Rheumatology
  • Complimentary registration to ACR Convergence 2021
  • Highlighted during the ACR Convergence 2021 - Plenary I
  • Patients of the 2021 winners will have the option to be included in a future feature in The Rheumatologist magazine

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 2021 – Plenary I, receive complimentary registration to ACR Convergence 2021, be eligible to win the 2021 People's Choice Award, plus the opportunity to be featured as the Image of Month in The Rheumatologist.

  • North America
  • Latin America & Caribbean
  • Europe & Central Asia
  • Middle East & North Africa
  • East Asia & Pacific
  • South Asia
  • Sub-Saharan Africa

*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 2021.

Image Submission Eligibility

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 category:

  • Clinical rheumatic manifestations in skin of color

Images that are not eligible for submission

  • Images that have been published before the Image Competition submission deadline 
  • Images that are copyrighted
  • Images that have been previously submitted to the Image Competition

Image Submission Guidelines

See the Image Competition Guidelines.

Image Permissions

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

Image Competition Winners

Congratulations to the following individuals for their outstanding submissions to the Image Competition!


Grand Prize - Aleksandra Bukiej, MD, Chicago, IL
Cutaneus Blastomycosis
A 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).
Figure 1    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
ACR Image competition winner 2018 Thoracic Immunoglobulin G4 (IgG4)-Aortitis: Chest


Grand Prize - Koji Takasugi, MD, Nagoya, Japan
Polyarteritis Nodosum (PAN), Coronary and Other Aneurysms
Polyarteritis Nodosum (PAN), Coronary and Other Aneurysms

Still Image - Nibha Jain, MD, Ahmedbad, India
Hypertrophic Osteoarthropathy: Pachydermia (“Bull-Dog” Appearance)
Hypertrophic Osteoarthropathy: Pachydermia

Case Study - Laura Tasan, MD, Pittsburgh, PA
Rosai-Dorfman Disease: Nodal and Extranodal Disease
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
2015 Grand Prize Winner Treglia Large Vessel Vasculitis

Still Image - Ernest Brahn, MD, Los Angeles, CA
Environmental Electron Microscopic Image of Articular Cartilage
2015 Still Category Winner Brahn-Articular-Cartilage

Case Study - Cuoghi Edens, MD, Cleveland, OH
Palmoplantar Psoriasis and Psoriatic Arthritis in a Toddler Before and After Treatment with Infliximab
2015 Case Study Winner Edens Psoriatic Arthritis


Grand Prize - Olga Goodman, Houston, TX
Spinal Cord Compression from Tophaceus Gout
2014 Grand Prize Winner


Still Image - Karim Masri, MD, Baltimore, MD
IgA Nephropathy: Mesenteric Vasculitis
2014 Still Category Winner

Case Study - Matthew Koster, MD, Rochester, MN
Atypical Swollen Hand: Mycobacterium Arupense Infection
2014 Case Study Winner