A Case of Typical Janeway Lesion in infectious Endocarditis.
- Author:
Hyun Jeong PARK
1
;
Dong Won LEE
;
Seung Churl PAIK
;
Baik Kee CHO
Author Information
1. Department of Dermatology, Catholic University Medical College, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Janeway lesion;
Infectious endocaditis
- MeSH:
Adult;
Diagnosis;
Endocarditis*;
Female;
Fever;
Hemorrhage;
Humans;
Purpura;
Skin
- From:Korean Journal of Dermatology
1996;34(6):993-997
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Infectious endocarditis is associated with five cutaneous findings: subungal hemorrhages, Roth spots, Osler's nodes, the Janeway lesion and petechiae, which are infrequently reported in the current antibiotic era. The Janeway lesion, first described by Edward Janeway in 1899, is an erythematous or hemorrhagic, non-tender macule or nodule several centimeters in diameter occurring on the palms or soles. We report a case of a Janeway lesion in a 30-year-old woman, who had pruritic nontender macules with fever of unkown origin. Our case demonstrates the importance of careful skin examination in systemic diseases such as infectious endocarditis. The findings of the Janeway lesion in this woman were important in securing the early clinical diagnosis of infectious endocarditis.
