TITLE

RECURRENT OSLER'S NODES IN SYSTEMIC LUPUS ERYTHEMATOSUS

AUTHOR(S)
Fenn, John E.
PUB. DATE
January 1969
SOURCE
Angiology;Jan1969, Vol. 20 Issue 1, p33
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Statements regarding the Osier's node as a pathognomonic sign of subacute bacte-rial endocarditis still abound in the medical literature. Although it is true that the mucocutaneous lesions, such as Osier's nodes, Janeway's spots, conjunctival pete-chiae and splinter hemorrhages, are more frequently seen in patients with subacute bacterial endocarditis than with other conditions, none are pathognomonic for this disease. Osier's nodes have been described in cases of typhoid fever, gonorrhea, acute bacterial endocarditis, "marantic" endocarditis and systemic lupus erythema-tosus. The Janeway lesion has been recently described in a patient with a mycotic aneurysm." Subungual splinter hemorrhages may be found in 10 to 66 per cent of persons in whom no type of infection can be found and are, therefore, of considerably less diagnostic significance. This paper reports the unusual manifestation of recurrent, classic Osier's nodes in a patient with subacute systemic lupus erythe-matosus who has had no evidence of bacterial endocarditis. The Osier's nodes were intermittently present for more than 2 years. In addition, it would appear that this is the greatest number of Osier's nodes reported in any individual patient as well as the longest duration of recurrent nodes in a patient thus far reported in the medical litera-ture.
ACCESSION #
16432699

 

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