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Osler's node

Painful raised skin lesions of the hands and feet


Painful raised skin lesions of the hands and feet

FieldValue
imageOsler Nodules Hand.jpg
captionOsler's lesions found on the hand and fingers of a 43-year-old male with subacute bacterial endocarditis
specialty
differentialinfective endocarditis

Osler's nodes are painful, red, raised lesions found typically on the hands and feet. They are associated with a number of conditions, including infective endocarditis, and are caused by immune complex deposition. Their presence is one definition of Osler's sign. TOC

Causes

Osler's nodes result from the deposition of immune complexes. The resulting inflammatory response leads to swelling, redness, and pain that characterize these lesions.

The nodes are commonly indicative of subacute bacterial endocarditis. 10–25% of endocarditis patients will have Osler's nodes.{{cite web |url=https://www.lecturio.com/concepts/endocarditis/| title=Endocarditis

Osler's nodes can also be seen in

  • Systemic lupus erythematosus
  • Marantic endocarditis
  • Disseminated gonococcal infection
  • Distal to infected arterial catheter

Etymology

Osler's nodes are named after Sir William Osler who described them in the early twentieth century. He described them as "ephemeral spots of a painful nodular erythema, chiefly in the skin of the hands and feet."

References

References

  1. (2022). "Osler Node and Janeway Lesions". StatPearls Publishing.
  2. {{DorlandsDict. seven/000097190. Osler sign
  3. (August 1976). "A consideration of the differences between a Janeway's lesion and an Osler's node in infectious endocarditis". Chest.
  4. {{DorlandsDict. six/000072701. Osler nodes
  5. {{WhoNamedIt. synd. 1702
  6. Osler, W. (1908–1909). "Chronic infectious endocarditis". Oxford.
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