Causes and risk factors
Osler nodes are particularly seen in patients suffering from endocarditis, typically the bacterial one. The exact pathogenesis in the formation of these nodes is not known. However, certain theories have been put forth. One of the theories suggests that it is caused due to septic microemboli that originates from the endocardial valvular lesion. While another theory proposes that the nodes are cause due to vaculities, which is immune mediated.
Clinical presentation:
Osler nodes are typically seen on the pads of the fingers and toes. There is formation of bumps which are reddish purple in color. They are painful. These nodes last for several days. Along with these, the patient often has other systemic complaints due to endocarditis.
Investigations:
Diagnosis is done on the basis of the symptoms narrated by the patient and an examination carried out by the doctor. There is a history of endocarditis. Clinical examination of the lesion along with subjective complaints are often sufficient for its diagnosis; however, if required the doctor can advise investigations like routine and specialized blood test, urine test, blood cultures, chest x-ray, ECG, etc. Skin biopsy can also be done.
Treatment:
As Osler nodes are caused due to endocarditis, treating the underlying cause is the main line of treatment. The lesion heals up eventually. For treating endocarditis, appropriate medications are started. If required, in severe cases, surgical intervention is done.
Other modes of treatment:
Certain other modes of treatment can also be helpful in coping up with the disease. Taking into consideration the symptoms in a holistic way, homoeopathy can offer a good aid for the relief of the symptoms. The Ayurvedic system of medicine which uses herbs and synthetic derivates can also be beneficial in combating the complaints.
