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. 

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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

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