Despite advances in diagnosis and treatment, infective endocarditis still shows
considerable morbidity and mortality rates. The dermatological examination in
patients with suspected infective endocarditis may prove very useful, as it
might reveal suggestive abnormalities of this disease, such as Osler’s nodes and
Janeway lesions. Osler’s nodes are painful, purple nodular lesions, usually
found on the tips of fingers and toes. Janeway lesions, in turn, are painless
erythematous macules that usually affect palms and soles. We report a case of
infective endocarditis and highlight the importance of skin examination as a
very important element in the presumptive diagnosis of infective
endocarditis.
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