Spider nevi secondary to alcoholic chronic liver disease

Abstract

A44-year-old male was brought to the emergency department after suffering a seizure while undergoing alcohol detoxifi cation. His medical history was notable for liver cirrhosis secondary to excess alcohol consumption and hepatitis C infection. The physical examination revealed signs of liver cirrhosis including palmar erythema, hepatomegaly, gynecomastia, paucity of chest hair, and red lesions on his arms, back, chest, and neck (Figure 1). The lesions blanched when pressure was applied centrally, and when pressure was released, they refi lled from the center outward (Video 1).