10 Skin signs of Liver Disease | Fatty liver | Cirrhosis of the Liver | Fatty liver Symptoms

10 Skin signs of Liver Disease | Fatty liver | Cirrhosis of the Liver | Fatty liver Symptoms | liver failure | Chronic liver disease | NAFLD


Chronic liver diseases are one of the leading causes of major health problems worldwide. Very often skin manifestations are the first sings of liver disease.

Few skin lesions are typically seen in liver disease but some skin changes are general and can be seen in many other diseases.

In this video we have discussed the signs of chronic liver disease:

Jaundice:

Yellowish discolouration of skin is a typical finding of liver disease. It is evident when the serum level of bilirubin exceeds 2.5 or 3.0 mg/dL.

The colour of the skin varies from yellow to brown, depending on the amount of bilirubin in your blood. The white portion of the eye also turns yellow. This skin changes is due to excess accumulation of bilirubin under the skin.


Spider angioma:

You can see web-like clusters of blood vessels under your skin which is called spider angioma or spider telangiectasia. The lesion contains a central, red spot and reddish extensions which radiate outward like a spider's web. They may appear as multiple or solitary lesions.It is painless.

Palmar erythema:

Palmar erythema also called liver palms is a condition where your palms, dorsum of hands, fingertips, and nail bed becomes red. This Erythema or redness blanches on the pressure and flushes synchronously with pulse rate.You may also experience throbbing and tingling sensation

Paper Money Skin:

Patients with cirrhosis have many randomly scattered thin superficial capillaries over the upper trunk in association with spider angiomas. This resembles the silk threads in American dollar bills and hence is named dollar paper markings or paper money skin

Dilated abdominal veins:

Sometimes you may notice painless, swollen veins around your bellybutton. It is commonly seen in liver cirrhosis. Scarring of liver in Cirrhosis makes it harder for blood to flow through the veins of your liver.

Easy bruising or bleeding:

The liver cells are involved in the synthesis of most blood coagulation factors, such as fibrinogen, prothrombin, factor V, VII, IX, X, XI, XII, as well as protein C and S. Those factors help in blood clotting. In chronic liver disease there is decreased production of coagulation factors. As a result you can experience easy bruising or bleeding.

The bleeding can occur from your nose or gingiva. Again, there are many other causes which can cause bleeding from nose and gum

Bier spots:

Sometimes, you may notice small irregularly shaped hypopigmented patches over arms and legs. These are considered to be due to venous stasis and are known as Bier spots.

Xanthelasma:

Xanthelasma, is a harmless, yellow growth that appears on or by the corners of your eyelids next to your nose. Having xanthelasmas could be a sign of liver disease, but it is associated with other condition, such as: Diabetes, hyperlipidemia and thyroid problems.


Nail clubbing:

Nail clubbing is also an important manifestation of chronic liver disease or cirrhosis. Nail clubbing occurs when the tips of the fingers enlarge and the nails curve around the fingertips.

Terry's nails.
Here the nails appear white except for a narrow pink band at the tip. It can be a sign of a serious underlying condition, such as liver disease, congestive heart failure, kidney failure or diabetes

Liver spots:

Sometimes you may find small, flat dark areas on the skin. They vary in size and usually appear on areas exposed to the sun, such as the face, hands, shoulders and arms.

Previously it was believed to caused by liver problem. And that’s why the name Liver spots. But they are physiologically unrelated to the liver

Age spots are caused by overactive pigment cells. Ultraviolet light speeds up the production of melanin and it is common over the age of 50


Watch our video to know more about this in detail.

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