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spider nevi and red palms
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spider nevi and red palms

What is the meaning of having spider nevi and red palms? I have normal liver panel result and fatty liver by utz. Is this cirrhosis?
4 Comments Post a Comment
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Avatar_dr_f_tn
Hello there,
A spider angioma, or a spider nevus is a tiny dilated blood vessel which is found just under the skin surface. They have a central red spot and reddish extensions which spread out like a spider's legs or a web. They are common and seen in fatty liver, liver diseases, pregnancy, thyroid disease etc.Treatment options are sclerotherapy and vascular laser treatments. Red palms may be seen in liver diseases like cirrhosis and it is advisable to rule out cirrhosis.  This diagnosis can be suggested by imaging studies .Discuss it with your doctor and get the test done. Do write to me again.
Best luck and regards!
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Avatar_f_tn
Ty so much doctor, tri phasics ct san showed suggestive of mild hepatic steatosis, whats the meaning of that doc?
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Avatar_m_tn
This diagnosis can be suggested by imaging studies

this is wrong, only very advanced cirrhosis which is mostly not reversable anymore can be seen by imiging machines.ultrasound machines are not to detect fibrosis/cirrhosis this is a decade old view which is not valid anymore we have specific machines today, ultrasound is used only to detect fatty liver and liver cancer mainly absolutely not for fibrosis/cirrhosis although few very ignorant doctors keep doing what they studied 30-50yo at university, it should be mandatory for doctors to be updated today we see patients which have much better knowledge than some doctors and this is a shame

you need a fibroscan as soon as possible this will tell if your liver is healthy or fibrotic/cirrhotic

the liver can be damaged by fatty liver or by hbv, both are serious the same, check the post "update on my fatty liver" by search box and see diet, excercise and supplements which reversed our fatty livers in few months
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Avatar_m_tn

and the so called specific machines are nothing new they are used since 2000 so there is no excuse for a doctor of not knowing the most important test to monitor liver damge after all this is our main test
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