Janeway lesions, a blessing in disguise, unraveled the hidden reticent: Systemic Lupus Erythematosus (SLE)

Ritwik Ghosh; Arpan Mandal; Souvik Dubey

Volume : IX, Issue : II, February - 2019

Janeway lesions, a blessing in disguise, unraveled the hidden reticent: Systemic Lupus Erythematosus (SLE)

Ritwik Ghosh, Arpan Mandal, Souvik Dubey

Abstract :

Janeway lesions are erythematous or hemorrhagic macular non–tender lesions on palms and soles and are the consequence of septic embolic events, a fairly suggestive sign of infective endocarditis (IE). Systemic lupus erythematosus (SLE) is a chronic inflammatory disease that has protean manifestations and follows a relapsing and remitting course. Cutaneous lesions are important as a diagnostic aid in SLE as these account for 4 out of 11 revised American Rheumatism Association criteria for disease classification. We are citing a case which presented merely with few constitutional symptoms and Janeway lesions on her soles and eventually diagnosed to be a case of SLE in absence of infective or Libman–Sacks endocarditis.