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Hep C Discussion Forum -> General Discussion -> Liver palms and liver spots
Post Info TOPIC: Liver palms and liver spots
Neil_Canuck


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RE: Liver palms and liver spots
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So glad you brought this up Malcolm as I was thinking of posting it for the last few weeks but thought maybe it was just me. Since starting Tx but certainly since Victrelis started my palms have been less and less red as time has gone on. Tonight they are as white as they ever were years ago. I hope you're right and it's the liver getting healthier as opposed to being a symptom of anemia. I had high feritin levels before Tx started and am hoping it will come down and that could possibly reduce the redness too??



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58 yrs, cirrhotic, Genotype 1b 48 weeks Victrelis triple, SOT 7/13/12 victrelis started week 5. Starting VL 4,000,000  Wk 8 33 copies  Wk 24 UND, EOT UND 6 months post Tx DET. The battle goes on.
mallani


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After having HCV for 20 years or more, some of us may have developed liver palms and/or liver skin lesions. Although typically associated with alcoholic hepatitis and cirrhosis, they may be found in any chronic liver disease.

Liver palms-' palmar erythema'. This is blotchy redness of the palms of the hands, usually opposite the base of the thumb (hypothenar eminence). The soles of the feet may also be affected. Your Hepatologist probably checked your palms at some stage.

Liver spots: Spider naevi (spider angioma) are most common and occur mostly on the trunk or face. They have a red central blood vessel with radiating, fine capillaries looking like spider's legs. Bier spots are small, depigmented lesions on the trunk or limbs. Campbell de Morgan spots are small, dilated skin capillaries. All may be removed by skin diathermy.

I have had both for at least 20 years. Since starting Rx, my liver palms are much less red. Perhaps this is due to anaemia but I prefer to think my liver feels better. At my Dermatologist visit 2 weeks ago, he noted that I had not developed any new liver spots. He had never seen me so pale, and thought that Rx was good for my skin, keeping me out of the sun for a year. I like this poem, from the early 1900's....

'An older Miss Muffett

Decided to rough it

And lived upon whisky and gin.

Red hands and a spider

Developed outside her

Such are the wages of sin.'



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Geno 1b, IL28B CT,  x3 prior relapser,  ex-cirrhotic, 75 yo, did 48 weeks with Victrelis/Peg./Riba.  VL 1.28m at start, UNDET. at 8 ,12 ,16 ,24 ,30  and 48 weeks.  EOT 15 Feb 2013 , UNDET. at EOT + 28 weeks. SVR!  Still Undet. at EOT +5 years

Malcolm
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