The skin in liver disease

 The skin in liver disease

Some of the associated abnormalities are the following.

1 Pruritus. This is related to obstructive jaundice andmay precede it.

2 Pigmentation. With bile pigments and sometimesmelanin .

3 Spider naevi(Fig. 19.7). These are often multiple inchronic liver disease.

4  Palmar erythema.

5  White nails. These associate with hypoalbuminaemia.

6  Porphyria cutanea tarda.

7  Xanthomas. In primary biliary cirrhosis.

8 Hair loss and generalized asteatotic eczemamayoccur in alcoholics with cirrhosis who have become zinc deficient.

 

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