Clinical Observation of Skin Manifestation in the Patients with Hepatic Problems.
- Author:
Inn Ki CHUN
;
Kyung Jae PARK
;
Young Pio KIM
- Publication Type:Original Article
- Keywords:
Liver disease
- MeSH:
Erythema;
Fibrosis;
Hemorrhage;
Hepatitis, Chronic;
Humans;
Incidence;
Internal Medicine;
Jaundice;
Jeollanam-do;
Liver Diseases;
Liver Neoplasms;
Melanosis;
Pruritus;
Sex Distribution;
Skin Manifestations*;
Skin*;
Spiders
- From:Korean Journal of Dermatology
1985;23(6):774-779
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
From September 1983 to August 1984, the clinical observations regarding cutaneous manifestations of 26(j cases of in-patients in the Department of Internal medicine with hepatic problems were observed at the Department of Derrnatology in Chonnam University Eiospital, The results were as follows: In the 266 patients, 201 patients(75.6%) revealed various cutaneous manifestaiions; Among them vascular spider occured in 100 (37. 6%), bleeding tendency in 67(25. 2%), pruritus in 65(24.4%), jaundice in 59 (22.2%), palmar erythema in 59(22. 2%), and melanosis in 56(21. l%). The incidences of skin changes by pattern of liver disease were as follows; In acte hepatits, prurit;us(46.8%) and acute urticarial & maculapapular eruption(36. 4%) were found in order. In chronic hepatitis, vascular spider(42. 6%) and melanosis (27. 9%) in order. In cirrhosis, vascular spider (62. 5%) and bleeding tendency (42. 0%) in order. In hepatic cancer vascular spider (24. 2%) and jaundice (21. 2%) in order. There were no statistically significant differences in sex distribution. In the incidences of skin changes by age groups, jaundice(p<0. 01) and melanosis were more frequently observed in the patients under the age of 29 and vascular spider (p<0.01 ) and melanosis in the patients are the age of 50. The longer the duration of illness were, the higher the incidences of skin changes except jaundice were.