Case and discussion

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A 60 year old man presented with complaints of bleeding gums and yellow eyes. He also had a history of end stage liver disease from chronic alcoholism. He had history of recurrent hepatic encephalopathy and recurrent ascites. On examination, we noticed lesions on dorsal aspect of middle finger of his right hand (Figure 1). It was non-tender and blanching in nature.

The lesion on the finger is Spider Angioma. They are superficial and tortuous arterioles and occur mainly on the face and upper torso. Rarely, it can be found on hand as shown in the picture. If blanched, it is possible to see the emptied veins refilling from the center. This filling from center to outwards is unique to spider angioma.

Acknowledgement(s)

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Nil

Authors Contribution(s)

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All authors contributed equally in literature review, manuscript preparation and review.

Source(s) of Funding

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No source of funding

Competing Interests

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No competing interests

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