TY  - JOUR
T1  - ATypical spider nevi distribution in liver disease
AU  - Bharath SS
Y1  - 1979/10/01
N1  - 10.1001/archinte.1979.03630470101034
JO  - Archives of Internal Medicine
SP  - 1193
EP  - 1193
VL  - 139
IS  - 10
N2  - To the Editor.— 
    A variety of cutaneous features are seen in liver disease of which the commonest, though not exclusive for liver disease, is the spider nevus. The face, neck, upper part of the thorax, and arms are the usual sites of occurrence. Our patient had florid spider nevi in thighs and knees, atypical sites of occurrence (Figure).Report of a Case.— 
    A 44-year-old woman was admitted to the Gastroenterology Service for management of decompensated chronic alcoholic liver disease. Results of physical examination showed intense jaundice; she was fully conscious without asterixis. Florid spider nevi were noticed in the chest, back, shoulders, arms, and both thighs, as well as the knees. She had massive hepatomegaly, ascites, and bilateral leg edema. Laboratory studies disclosed the following values: WBC, 12,000/ cu mm; hematocrit, 34%; mean corpuscular volume, 100/cu μ; hepatitis-associated antigen, negative; bilirubin, 22.9 mg/dL; SGOT, 136 units; SGPT, 137 units; and
SN  - 0003-9926
M3  - doi: 10.1001/archinte.1979.03630470101034
UR  - http://dx.doi.org/10.1001/archinte.1979.03630470101034
ER  -