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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
| Field | Value |
|---|---|
| image | Osler Nodules Hand.jpg |
| caption | Osler's lesions found on the hand and fingers of a 43-year-old male with subacute bacterial endocarditis |
| specialty | |
| differential | infective 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
- (2022). "Osler Node and Janeway Lesions". StatPearls Publishing.
- {{DorlandsDict. seven/000097190. Osler sign
- (August 1976). "A consideration of the differences between a Janeway's lesion and an Osler's node in infectious endocarditis". Chest.
- {{DorlandsDict. six/000072701. Osler nodes
- {{WhoNamedIt. synd. 1702
- Osler, W. (1908–1909). "Chronic infectious endocarditis". Oxford.
This article was imported from Wikipedia and is available under the Creative Commons Attribution-ShareAlike 4.0 License. Content has been adapted to SurfDoc format. Original contributors can be found on the article history page.
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