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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