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Clinical Image: A 56-year-old male

A 56-year-old male

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Presentation
A 56 year old male presented with malaise and loss of appetite. On physical examination his sclerae and skin were yellow. His abdomen was swollen and his liver was enlarged. Erythematous skin lesions are present on the upper thorax region and arms.

Skin lesions on the upper thorax region

Question about the skin lesions.

I.M. Harmsen & K.P.G.M. Hurkens

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Spider naevi or spider angiomata are seen in patients with liver cirrhosis. As the name suggests, they look like spiders webs. The centre is an arteriole lesion and the ‘web’ is made out of smaller vessels. The pathogenesis is unclear, but it is believed that alterations in sex hormone metabolism may be of influence.

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