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.