Spider telangiectasias

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In a male, are they pathognomic for cirrhosis? Is it possible that fatty liver could lead to them rather than cirrhosis? Or can there be another etiology entirely?

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[asmallchild]

They are not, they can be found in healthy people. That being said, if a large number is found, it would be wise to check LFTs. I believe any form of hepatic failure, specifically preventing detoxification of estrogen from the blood, can result in spider angiomas. Cirrhosis is the classic disease associated with spider angiomas

 

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When you say hepatic failure, would that include hepatitis or fatty liver?