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Correspondence |

Janeway Lesions, Osler Nodes, or Neither?

Weekitt Kittisupamongkol, MD
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Copyright 2010 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.

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Arch Neurol. 2010;67(3):373-373. doi:10.1001/archneurol.2010.8
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Navi and colleagues1 describe a woman with right-sided weakness and difficulty speaking who was subsequently diagnosed with tumor emboli of metastatic lung carcinoma. The authors mentioned Janeway lesions. I was wondering how they distinguished Janeway lesions from Osler nodes in the patient with global aphasia. Both signs are similar; the only essential diagnostic difference is that Janeway lesions are not tender, while Osler nodes are.2 3 Lastly, it is noteworthy that Janeway lesions and Osler nodes are pathognomonic signs of infective endocarditis.2 3

AUTHOR INFORMATION

Correspondence: Dr Kittisupamongkol, Hua Chiew Hospital, 665 Bumrungmuang Rd, Bangkok 10100, Thailand (weekitti@gmail.com).

Financial Disclosure: None reported.

REFERENCES

Navi  BB, Kawaguchi  K, Hriljac  I, Lavi  E, DeAngelis  LM, Jamieson  DG. Multifocal stroke from tumor emboli. Arch Neurol 2009;66 (9) 1174- 1175
PubMed
Paily  R. Sure signs. Am J Med 2007;120 (1) 19- 20
PubMed
Farrior  JB, Silverman  ME. A consideration of the differences between a Janeway's lesion and an Osler's node in infectious endocarditis. Chest 1976;70 (2) 239- 243
PubMed

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Navi  BB, Kawaguchi  K, Hriljac  I, Lavi  E, DeAngelis  LM, Jamieson  DG. Multifocal stroke from tumor emboli. Arch Neurol 2009;66 (9) 1174- 1175
PubMed
Paily  R. Sure signs. Am J Med 2007;120 (1) 19- 20
PubMed
Farrior  JB, Silverman  ME. A consideration of the differences between a Janeway's lesion and an Osler's node in infectious endocarditis. Chest 1976;70 (2) 239- 243
PubMed

Correspondence

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