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Clinical Images

Skin and the Liver

Cyriac Abby Philips MD 

June 20, 2016

A 52-year old man with decompensated cirrhosis secondary to alcohol abuse and a history of hepatic encephalopathy was referred for living donor liver transplantation evaluation. Physical examination revealed icterus and diffuse thread-like, non-pruritic, non-tender, erythematous telangiectatic lesions over the face and upper anterior neck without oro-mucosal involvement. Exam was also notable for mild pallor, clubbing, bilateral non-tender pitting pedal edema, and ascites with firm hepatosplenomegaly. 

 

 

skin and liver



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Author:
Cyriac Abby Philips MD 
Senior Fellow, Department of Hepatology and Transplant Medicine, Institute of Liver and Biliary Sciences, New Delhi 1

References
1. Reuben, A. The liver has a body—A Cook's tour. Hepatology, 2005; 41: 408–415
Faughnan ME, Palda VA, Garcia-Tsao G, et al. International guidelines for the diagnosis and management of hereditary hemorrhagic telangiectasia. J Med Genet 2011;48:73-87
2. Walling HW, Sontheimer RD. Cutaneous Lupus Erythematosus: Issues in Diagnosis and Treatment.Am J Clin Dermatol. 2009;10(6):365–381Oh CC. Cellulitis and erysipelas: prevention. BMJ Clin Evid. 2015 Nov 18;2015. pii: 1708.
3. Dogra S, Jindal R. Cutaneous Manifestations of Common Liver Diseases. Journal of Clinical and Experimental Hepatology. 2011; 1(3):177-184. 

 

 



 

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