Palmar Erythema
Erythema of the thenar/hypothenar portion of the hand with a pale central palm, seen in liver disease (likely from imbalance of estrogens to androgens).
Patient 1:
This is a middle-aged woman with cirrhosis.
Patient 2:
This is a middle-aged man with cirrhosis.
Patient 3:
This is a young man with cirrhosis.
Patient 4:
This is a middle-aged man with cirrhosis. Note the presence of Dupuytren’s contracture, which is associated with liver disease.
This patient also has spider angiomas as well as a bounding peripheral pulse from the high output state of cirrhosis.
Patient 5:
This is a middle-aged woman with cirrhosis. Note the presence of clubbing, which should trigger a search for the presence of a right-to-left shunt, such as hepatopulmonary syndrome.
Patient 6:
This patient has
Patient 7:
This patient has
Patient 8:
This is a middle-aged woman with cirrhosis.
Patient 9:
This is an older man with cirrhosis.
