Janeway lesion in infective endocarditis

A Janeway lesion (arrow) occurred on the palm in this patient with bacterial endocarditis due to Streptococcus bovis. These lesions are macular, nonpainful, and erythematous; they are located on the palms and soles.

Courtesy of Jan V Hirschmann. The Skin and Infection: A Color Atlas and Text, Sanders CV, Nesbitt LT Jr (Eds), Williams & Wilkins, Baltimore 1995.

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Graphic 58380 Version 15.0

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Janeway lesion in infective endocarditis