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Liver Transplant (Expert Forum)
Skin Changes
Answered by
Thomas D Schiano, MD - Internal Medicine, Gastroenterology, Liver Transplantation, Hepatology
The Mount Sinai Medical Center
New York - NY
Questions posted in the Liver Transplant . Forum are answered by medical professionals from The Mount Sinai Medical Center.
Skin Changes
by aMom21, Jun 30, 2009 02:40PM
Hi Doc,
You have helped me before and I am hoping you can once more.
I am a past heavy drinker of 10 years. Abstinent since October 2007, when I was put on Toprol for high blood pressure. Blood pressure is now normal off of the Toprol since July 2008.
Following are my symptoms that have arose since that time.
01/08 Skin becoming tanner maybe more yellow/orange
04/08 Eyes burn and blood vessels in eyes much more prominent
05/08 Pain under right rib cage that radiates to upper, mid and lower back
08/02 Incredible fatigue
08/02 Slight swelling and pain in ankles that radiates up to knees
09/08 Hundreds of red spots that do not fade
09/08 Yellow diarrhea daily each morning
09/08 Night sweats
10/08 Notice additional red spots that occasionally appear and disappear within 24 hours
10/08 Seem to bruise easily
11/08 Slight swelling and pain in hands
12/08 Redness in hands and feet, seems to be traveling
12/08 Some spider veins appearing on chest and shoulders
12/08 Nails of big toes are white
01/08 Heart beat felt in abdomen
The most troublesome of the symptoms is the RUQ pain and my skin which continues to become more yellow or bronze in color. I have had 3 different sets of CBCs and LFTs all normal. Iron levels, alpha-feta protein and thyroid have come back normal also Had a ultrasound, 2 CT scans, HIDA scan, upper endoscope, and mamogram (mammogram). Aside from having a very very slight hiatel hernia and a twisty colon they revealed nothing out of the ordinary.
Do you have any idea what direction my doctor should go in? My current gastro doc is going to test me for sarcoidosis, but I am not sure that addresses the issue with my skin which I believe to be a big part of this puzzle.
Thank you for time!
You have helped me before and I am hoping you can once more.
I am a past heavy drinker of 10 years. Abstinent since October 2007, when I was put on Toprol for high blood pressure. Blood pressure is now normal off of the Toprol since July 2008.
Following are my symptoms that have arose since that time.
01/08 Skin becoming tanner maybe more yellow/orange
04/08 Eyes burn and blood vessels in eyes much more prominent
05/08 Pain under right rib cage that radiates to upper, mid and lower back
08/02 Incredible fatigue
08/02 Slight swelling and pain in ankles that radiates up to knees
09/08 Hundreds of red spots that do not fade
09/08 Yellow diarrhea daily each morning
09/08 Night sweats
10/08 Notice additional red spots that occasionally appear and disappear within 24 hours
10/08 Seem to bruise easily
11/08 Slight swelling and pain in hands
12/08 Redness in hands and feet, seems to be traveling
12/08 Some spider veins appearing on chest and shoulders
12/08 Nails of big toes are white
01/08 Heart beat felt in abdomen
The most troublesome of the symptoms is the RUQ pain and my skin which continues to become more yellow or bronze in color. I have had 3 different sets of CBCs and LFTs all normal. Iron levels, alpha-feta protein and thyroid have come back normal also Had a ultrasound, 2 CT scans, HIDA scan, upper endoscope, and mamogram (mammogram). Aside from having a very very slight hiatel hernia and a twisty colon they revealed nothing out of the ordinary.
Do you have any idea what direction my doctor should go in? My current gastro doc is going to test me for sarcoidosis, but I am not sure that addresses the issue with my skin which I believe to be a big part of this puzzle.
Thank you for time!
Doctor's Answer
by Thomas D Schiano, MD, Jul 02, 2009 08:24PM
, Jul 02, 2009 08:24PM
from what you write i am not really sure why they feel you could have sarcoidosis. have the tested you for hemochromatosis? do you eat a lot carrots or take beta carotene as this can cause the pigmentation--hypercarotenemia.
Just a note, the past two weekends I have had boughts of excruciating pain in my right side which I had not had in the past. The pain was always consistant but not constant and was more of an ache and not sharp pain in the past.
Also, I forgot to mention that I have had a colonoscopy as well as a chest CT scan which did not reveal anything abnormal.
Thank you for your time Doctor!