Definition: Painful, small, palpable mauvish nodules on finger pads, palms and soles of feet.
Causes: In endocarditis, septic emboli can cause small cutaneous abscesses.
Examination: One of number of peripheral stigmata which are sometimes seen in patients with endocarditis. Observe finger pads and palms. If lesions are present, enquire if they are painful.
Janeway lesions are very rare (compared to Osler’s nodes) painless macule type lesions which are small, but painless spots which can be seen on soles of feet, palms and finger pads.