Chronic liver diseases are one of the leading causes of major health problems worldwide very often skin manifestations are the first sign 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 so let's discuss the signs one by one
JAUNDICE
Elish discoloration of the skin is a typical finding of liver disease it is evident when the serum level of bilirubin exceeds 2.5 or 3 milligrams per DL the color of the skin varies from yellow to Brown depending on the amount of bilirubin in your blood. The white portion of the eyes also turns yellow this skin change is due to excess accumulation of bilirubin under the skin.
Spider Angioma
You may see wave-like clusters of blood vessels under your skin which is called spider angioma or a spider. Till injector shear the lesion contains a central red spot and a reddish extension that radiate outward like a spider's web they may appear as multiple or Solitaire Illusions. It is painless but remember it can be seen in many other conditions like thyrotoxicosis rheumatoid arthritis and pregnancy. However multiple spider angiomas are characteristic of chronic liver disease with a specificity of 95 percent.
Palmar Erythema
Also called liver bombs is a condition called Palmar
erythema where your palms dot some of your hands fingertips and nail weight becomes
red similar changes can also be seen over Souls this erythema or redness
blanches on the pressure and flushes synchronously with pulse rate you may also
experience throbbing and tingling sensation. The next important skin sign is
Paper money Paper Money Skin
skin patients with cirrhosis have many randomly
scattered thin superficial capillaries over the upper trunk in association with
spider angiomas this resembles the silk thread in American dollar bills and
hence is the name dollar paper markings or paper money scale.
Diluted Veins
Sometimes you may notice painless swollen veins around your belly button it is commonly seen in liver cirrhosis scarring in liver cirrhosis makes it harder for the blood to flow through the veins of your liver which leads to a backup of blood in your portal fin. The increased blood in your portal fin then leads to Total hypertension with nowhere else to go some of the blood tries to flow through the nearby veins around the belly button called the periumbilical veins which can be seen through the skin.
Easy Bruising
or Bleeding
The liver cells are
involved in the synthesis of most blood coagulation factors such as fibrinogen
prothrombin Factor 5 7 9 10 11 12 as well as protein C and protein those
factors that 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 you may see tiny
red spots on your skin. But again there are many other causes that can cause
bleeding from your nose and gum.
Bier spots
Sometimes you may notice small irregular Bier
spots shaped hypopigmented patches over arms and legs these are considered to
be due to anastasis
janthalisma
Xanthelasma
journalism is a harmless yellow growth that appears on or by the corners of your eyelids next to your nose it is due to cholesterol deposition under your skin having gentle asthma could be a sign of liver disease but it is associated with other conditions such as diabetes hyperlipidemia and thyroid problems.
Neil clubbing
Also, an important Nail
clubbing manifestation of chronic liver disease or cirrhosis nail clubbing
occurs when the tips of the fingers enlarge and the nails curve around the
fingertips. It is also seen in many other conditions like lung disease heart
disease and inflammatory bowel disease. Another important sign is there are nails in
which most of the nails appear white except for a narrow pink band at the tip it
can be a sign of serious underlying conditions such as liver disease congestive
heart failure kidney failure or diabetes.
Now one more thing I would like to mention here is
liver spots or age spots Liver
spots
sometimes 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 be caused by liver problems and that's why the name liver Sports but they are physiologically unrelated to the liver age sports or liver sports are actually caused by overactive pigment cells ultraviolet light speeds up the production of melanin and it is common over the age of 50. Many people are currently suffering from fatty liver disease.
