Splinter haemorrhages, Osler's nodes, Janeway lesions and Roth spots: the peripheral stigmata of endocarditis

Sethi, Karishma; Buckley, Jim; Wolff, Jacob de

doi:10.12968/hmed.2013.74.sup9.c139

Cited by 10 publications

(9 citation statements)

References 22 publications

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“…Histopathological examination usually reveals perivascular infiltrate of neutrophils and endothelial swelling 1 and dermal microabscesses without evidence of vasculitis and thrombosis of the small vessels. 2 Similar to Janeway's lesion, cutaneous microembolism may present with non-tender erythematous lesions over fingers and toes in patients with rheumatic heart disease. Besides intracardiac thrombus, cutaneous microembolism may be found in systemic lupus erythematosus, leucocytoclastic vasculitis, haemolytic anaemia and gonococcemia.…”

Section: Descriptionmentioning

confidence: 93%

“…Janeway’s lesions are painless, macular, haemorrhagic lesions occurring most commonly on the palmar surface of the hands and feet. Histopathological examination usually reveals perivascular infiltrate of neutrophils and endothelial swelling1 and dermal microabscesses without evidence of vasculitis and thrombosis of the small vessels 2. Similar to Janeway’s lesion, cutaneous microembolism may present with non-tender erythematous lesions over fingers and toes in patients with rheumatic heart disease.…”

Section: Descriptionmentioning

confidence: 99%

“…Besides intracardiac thrombus, cutaneous microembolism may be found in other diseases like systemic lupus erythematosus, leucocytoclastic vasculitis, haemolytic anaemia and gonococcemia 2…”

Section: Descriptionmentioning

confidence: 99%

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Cutaneous microembolism: a close mimic of Janeway’s lesion

Kalum¹,

Goel²,

Bhari

et al. 2019

BMJ Case Rep

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Section: Descriptionmentioning

confidence: 93%

Section: Descriptionmentioning

confidence: 99%

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Cutaneous microembolism: a close mimic of Janeway’s lesion

Kalum¹,

Goel²,

Bhari

et al. 2019

BMJ Case Rep

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“…Osler's nodules are small, reddish, painful, raised lesions that appear on the thumb, fingers, and toes; Janeway's spots, on the other hand, are small haemorrhagic, nonpainful lesions located on palms and soles ( Figure 3 ). Treatment is directed to the germ responsible for the septic process [ 46 ].…”

Section: Classification Of Dermatological Manifestations In Intensmentioning

confidence: 99%

Dermatological Manifestations in the Intensive Care Unit: A Practical Approach

Badía

Casanova²,

Servià

et al. 2020

Critical Care Research and Practice

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Dermatological problems are not usually related to intensive medicine because they are considered to have a low impact on the evolution of critical patients. Despite this, dermatological manifestations (DMs) are relatively frequent in critically ill patients. In rare cases, DMs will be the main diagnosis and will require intensive treatment due to acute skin failure. In contrast, DMs can be a reflection of underlying systemic diseases, and their identification may be key to their diagnosis. On other occasions, DMs are lesions that appear in the evolution of critical patients and are due to factors derived from the stay or intensive treatment. Lastly, DMs can accompany patients and must be taken into account in the comprehensive pathology management. Several factors must be considered when addressing DMs: on the one hand, the moment of appearance, morphology, location, and associated treatment and, on the other hand, aetiopathogenesis and classification of the cutaneous lesion. DMs can be classified into 4 groups: life-threatening DMs (uncommon but compromise the patient's life); DMs associated with systemic diseases where skin lesions accompany the pathology that requires admission to the intensive care unit (ICU); DMs secondary to the management of the critical patient that considers the cutaneous manifestations that appear in the evolution mainly of infectious or allergic origin; and DMs previously present in the patient and unrelated to the critical process. This review provides a characterization of DMs in ICU patients to establish a better identification and classification and to understand their interrelation with critical illnesses.

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“…2 Bacterial cultures are often positive, leading to the conclusion that these lesions are caused by septic microemboli. 1 Microbiological cultures of classic dermatological lesions can be performed to assist in therapeutic management and to improve our knowledge. Janeway lesions are associated with embolic events other than cerebral emboli.…”

Section: Authors: Andrea Misin mentioning

confidence: 99%