10 Skin signs of Liver Disease Fatty liver

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00:00Chronic liver disease are one of the leading cause of major health problems worldwide.

00:06Very often, skin manifestations are the first sign of liver disease.

00:11Few skin lesions are typically seen in liver disease, but some skin changes are general and can be seen in many other diseases.

00:20So let's discuss the signs one by one.

00:24Yellowish discoloration of skin is a typical finding of liver disease.

00:28It is evident when the serum level of bilirubin exceeds 2.5 or 3 mg per dl.

00:36The color of the skin varies from yellow to brown, depending on the amount of bilirubin in your blood.

00:43The white portion of the eyes also turns yellow.

00:47This skin changes is due to excess accumulation of bilirubin under the skin.

00:54Next important skin manifestation is spider angioma.

00:58You may see web-like clusters of blood vessels under your skin, which is called spider angioma or spider tailingectisia.

01:05The lesion contains a central red spot and a reddish extension, which radiate outward like a spider's web.

01:16They may appear as multiple or solitary lesions and it is painless.

01:21But remember, it can be seen in many other conditions like thyrotoxicosis, rheumatoid arthritis and pregnancy.

01:29However, multiple spider angiomas are characteristic of chronic liver disease with a specificity of 95%.

01:37Palmar erythema, also called liver palms, is a condition where your palms, dot sum of hands, finger tips and nail bed becomes red.

01:48Similar changes can also be seen over soles.

01:52This erythema or redness blunches on the pressure and flushes synchronously with pulse rate.

01:59You may also experience throbbing and tingling sensation.

02:03Next important skin sign is paper money skin.

02:07Patients with cirrhosis have many randomly scattered thin superficial capillaries over the upper trunk in association with spider angiomas.

02:18This resembles the silk thread in American dollar bills and hence is the name dollar paper marking or paper money skin.

02:27Sometimes, you may notice painless solen veins around your belly button.

02:34It is commonly seen in liver cirrhosis.

02:36Scarring in liver cirrhosis makes it harder for the blood to flow through the veins of your liver.

02:43Which leads to backup of blood in your portal vein.

02:47The increased blood in your portal vein then leads to portal hypertension.

02:53With nowhere else to go, some of the blood tries to flow through the nearby veins around the belly button called the peri-umbilical veins.

03:01Which can be seen through the skin.

03:05Next important thing is easy bruising or bleeding.

03:09The liver cells are involved in synthesis of most of blood coagulation factors such as fibrinogen,

03:15pothrombin, pothrombin, factor 5, 7, 9, 10, 11, 12 as well as protein C and protein S.

03:25Those factors help in blood clotting.

03:28In chronic liver disease, there is decreased production of coagulation factors.

03:33As a result, you can experience easy bruising or bleeding.

03:37The bleeding can occur from your nose or gingiva.

03:41You may see tiny red spots on your skin.

03:44But again there are many other causes which can cause bleeding from your nose and gum.

03:51Sometimes you may notice small irregular shaped hypopigmented patches over arms and legs.

03:59These are considered to be due to venestasis and are known as bear spot.

04:05Their characteristic feature is that they disappear when pressure is applied or when

04:10the affected limb is raised from the dependent position.

04:16Next is Genthalisma.

04:18Genthalisma is a harmless yellow growth that appears on or by the corners of your eyelids

04:24next to your nose.

04:26It is due to cholesterol deposition under your skin.

04:30Having Genthalisma could be a sign of liver disease but it is associated with other conditions

04:36such as diabetes, hyperlipidemia and thyroid problems.

04:43Nail clubbing is also an important manifestation of chronic liver disease or cirrhosis.

04:49Nail clubbing occurs when the tips of the fingers enlarge and the nails curved around the fingertips.

04:57It is also seen in many other conditions like lung disease, heart disease and inflammatory

05:02bowel disease.

05:03Another important sign is Terry's nails, in which most of the nails appear white except

05:09for a narrow pink band at the tip.

05:12It can be a sign of serious underlying conditions such as liver disease, congestive heart failure,

05:18kidney failure or diabetes.

05:22Now one more thing I would like to mention here is liver spouts or age spouts.

05:28In other conditions you may find small flat dark areas on the skin.

05:33They vary in size and usually appear on areas exposed to the sun such as face, hands, shoulders

05:40and arms.

05:42Previously it was believed to be caused by liver problems.

05:47And that's why the name liver spouts.

05:50But they are physiologically unrelated to the liver.

05:54Age spouts or liver spouts are actually caused by overactive pigment cells.

05:59Ultraviolet light speeds up the production of melanin.

06:03And it is common over the age of 50.

06:07Many people are currently suffering from fatty liver disease.

06:11We have already made detailed videos on that topic.

06:14Click the i button on the upper right corner of your skin to watch the video.

06:18So that's all for today.

06:19Hope you find this video helpful.

06:21Don't forget to like, comment and subscribe.

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