Liver palm

Introduction When suffering from chronic hepatitis, especially cirrhosis, the skin of the thumb and the root of the little finger appears to have flaky congestion, or red spots and plaques, which become pale after being pressurized. This palm, which is different from normal people, is called the liver palm. Most of the patients with cirrhosis are easy to merge with the liver. The main appearance of the liver palm is as follows: the large and small fish on both sides of the palm of the hand and the palm of the fingertip are pink spots and plaques. The color is like cinnabar. When pressed, it turns pale, and after pressing, it turns red. The color of the palm is normal. If you pay attention to the observation, you can see a large number of flaky arterioles that extend contiguously. In some cases, not only the palm but also the sole. Liver palm is one of the important markers of chronic hepatitis and cirrhosis.

Cause

Normal male females have a slightly triangular glandular hormone-producing gland above the kidneys called the adrenal gland. This gland continuously produces estrogen, which maintains a relatively balanced normal level with the male hormone produced by the body, thus ensuring the normal physiological and biochemical metabolism of the body in this aspect. In addition, female ovaries also produce this hormone. These hormones travel around the body with blood flow and eventually decompose and inactivate in the liver. However, when liver cirrhosis, due to liver function decline, the metabolic inactivation function of estrogen has different degrees of obstacles. Over time, estrogen accumulates more in the body, which stimulates capillary congestion and expansion, forming the liver palm.

an examination

Related inspection

Liver function test, liver disease, ultrasound diagnosis, magnetic resonance imaging (MRI)

In the palm of the patient's palm, on the palm of the hand and on the palm of the finger, the base of the finger presents a pink (fused or unfused) rouge-like spot, which fades and removes the pressure and then returns to its original state. If you look closely at the liver palm, you can see that there are many small arteries that are dotted and expanded into pieces. Similarly, the liver palm will change with the progress of liver function, and can be seen in a few healthy people. Therefore, for those who have liver, it should be combined with medical history, physical examination, liver function, hepatitis B virus surface antigen, B-ultrasound, scanning and other tests, and then comprehensive analysis and judgment, and then can make a correct conclusion.

First, general physical examination

At the time of percussion, there will be different degrees of tenderness, snoring pain in the liver area, swelling of the liver, and even swelling of the spleen.

Second, imaging examination

B-ultrasonography, MRI and other imaging examinations can find some signs of liver fibrosis. Early B-ultrasound is a reference for assessing the degree of cirrhosis. It can be found in hepatomegaly, splenomegaly, uneven liver surface, and liver echo. Display enhancements, etc.

Third, liver function test

Early liver cirrhosis liver function tests, if found abnormal white globulin, that is, albumin decreased, globulin increased, blood albumin and globulin ratio decreased, or even inverted, indicating that patients generally have cirrhosis.

Fourth, liver pathology examination

At present, the most reliable method for diagnosing liver fibrosis is liver biopsy pathological examination, which can detect the degree of fibrosis and fibrosis in the liver; it can also be used for differential diagnosis of alcoholic cirrhosis and hepatitis cirrhosis.

Differential diagnosis

Common hepatic palm symptoms include a pink (fused or unfused) rouge-like spot on the base of the finger, which is discolored by pressure, and then restored to its original state after removal of pressure. It needs to be distinguished from the following symptoms:

1. Spider mites: Spider angioma is formed by a central small artery and many small blood vessels that are scattered outward. The shape is named after a spider. Spider mites are the result of the expansion of small arteries on the skin and mucous membranes. They are similar to spiders on the skin. Small ones are big-cap needles. The larger ones can reach more than 1cm in diameter, and the center is slightly raised. If the center erythema is pressed with a pin cap, the surrounding hair is capillaries. Vascular fading, recovery after removal of pressure, usually occurs in areas of the superior vena cava, such as the hands, face and neck, front chest and shoulders.

2, palmar redness: the size of the roots of the thumb and the little finger, the skin of the fish appeared flaky congestion, or red spots, plaques, turned into pale after pressurization.

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