8 results
Janeway Lesions in Endocarditis seen on Physical Exam 

Dr Supradip Ghosh
@dr_supradip

36 year old male with history
Janeway Lesions ... Infective Endocarditis ... #Lesions #Endocarditis ... #dermatology #soles ... #skin
Embolic Phenomena: Purplish discoloration of skin resulting from embolus to small toe. In this case, the
discoloration of skin ... Goldberg, M.D. - UCSD ... Embolic #Vegetation #Endocarditis ... #Janeway #Lesions ... #Photo #UCSDH
Skin Conditions Associated with Joint Pain

Rash
	• Human parvovirus B19 infection

Malar rash
	• SLE
	• Human parvovirus B19 infection
	•
Joint Pain Rash ... parvovirus B19 infection ... Malar rash ... lesions • Discoid ... differential #diagnosis #rheumatology
Clinical Features of Systemic Lupus (SLE)
General: Fever (50%), Depression, Fatigue (75%), Weight loss (50%)
Eye: Sjögrens (15%)
Skin
Systemic Lupus (SLE ... Sjögrens (15%) Skin ... Photosensitivity, Butterfly rash ... Pericarditis, Endocarditis ... symptoms #diagnosis #rheumatology
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
3rd Decade Skin ... papulosquamous lesions ... Non-autoimmune rheumatologic ... Seizures • Strokes Skin ... • Libman-Sacks endocarditis
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
lesions • Mononeuritis ... diseases, such as SLE ... , mucositis • Rash ... , recent viral infection ... Differential #Diagnosis #Rheumatology
Monkeypox Skin Rash
30 yr F and her 6 yr daughter purchased 2 prairie dogs 10 days
Monkeypox Skin Rash ... human-to-human w/ lesions ... monkeypox (85% effective ... Palms/soles (75% ... SkinRash #clinical #photo
Majocchi’s Granuloma due to Trichophyton rubrum 
This is GMS stain and culture of a skin biopsy
and culture of a skin ... unremarkable except lesions ... recommended as sole ... Fungal infection ... rubrum #clinical #photo