Liver disease

Introduction Liver disease is more common in patients with chronic hepatitis and cirrhosis, and is one of the common clinical manifestations of patients with liver disease. The face of liver disease is characterized by dry skin, dark complexion and darkness. The pigmentation of the skin on some patients' faces and other exposed parts may be more obvious, especially the pigmentation around the eyelids.

Cause

(1) Due to liver dysfunction due to decompensated cirrhosis, the inactivation of estrogen by the liver is reduced, estrogen is increased, and the inhibition of tyrosinase by thiol groups in the body is weakened, and tyrosine becomes melanin. The increase in the amount.

(2) cirrhosis secondary adrenal insufficiency, the liver can not metabolize the melanocyte stimulating hormone secreted by the anterior pituitary, promoting melanin secretion.

In addition, patients with cholestatic cirrhosis appear as skin yellow, dull, and may also have skin chloasma and yellow tumor formation, which is caused by increased lipid concentration in the blood and deposition on the skin.

an examination

Related inspection

Liver function examination liver ultrasound examination

The facial features of the liver disease are that the color of the facial skin is gradually darkened, the face is black and the gloss is not elastic, the skin is dry and rough, and even the "bronze" face appears. Some patients are especially dark around the eye circle, a bit like "panda eyes", some patients Small telangiectasia appears on the face or tip of the nose, like a delicate network.

Differential diagnosis

Identification:

'Other factors of life can also lead to darkening of the face, such as lack of sleep, malnutrition and so on. There are also other diseases caused by reduced blood oxygen levels, such as pneumonia, high altitude, heart failure, asthma, pulmonary heart disease, constipation, abdominal pain, diarrhea can also cause, and kidney disease often causes dark complexion, and excessive fatigue It will also cause, and people born with natural skin will be black. These should be noted in the diagnosis.

diagnosis:

The facial features of the liver disease are that the color of the facial skin is gradually darkened, the face is black and the gloss is not elastic, the skin is dry and rough, and even the "bronze" face appears; some patients are especially dark around the eye circle, a bit like "panda eyes"; some patients Small telangiectasia appears on the face or tip of the nose, like a delicate network.

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