Doctor insights on:
Spider Nevi Cirrhosis
See below: See www.Emedicinehealth.Com/spider_bite_brown_recluse_spider_bite/article_em.Htm for a great article about this. ...Read more
Cirrhosis: Cirrhosis is scarring of the liver that is a result of some inflammatory process like Hepatitis (viral, alcoholic, fatty liver, and so on). The spider nevi are a manifestation of some of the changes which occur when the liver malfunctions, does not detoxify estrogens and creates portal hypertension. You can also get it with other sources of high estrogen levels. ...Read more
Spider angiomas: Spider angiomas are often a sign of portal hypertension, due to liver disease. The spiders will not go away until the liver disease is under better control. I would see your liver specialist to discuss your liver disease and see if there are options to reduce the portal hypertension. In the meantime,do not drink alcohol. Good luck. ...Read more
Spiders: Brown Recluse spiders inject a hemotoxin that leads to tissue death, and slow wound resolution. Usually the bite is unremarkable-noticed. Black Widow spiders inject a neurotoxin that can lead to pain, nausea, vomiting, etc. Death is unusual. Hobo spider bites are thought to be similar to a Brown Recluse but not as severe. ...Read more
They are relates: Spider angiomas are one of the skin manifestations of underlying liver disease from cirrhosis to fatty infiltration...When isolated they do not necessarily mean that there is liver damage but coupled with other findings they could be seconadry to this problem. ...Read moreSee 1 more doctor answer
Really serious: There is a mortality rate of 30-50% with the first episode of upper GI bleeding from esophageal varices. Two thirds of these patients die within 1 year. Most patients with varices have cirrhosis, 40% dying from associated medical problems. About a quarter to a third of cirrhosis patients bleed at least once from varices. Many therapeutic and preventative options exist--get to a GI doctor asap. ...Read more
No: Liver hemangiomas occur at random and are harmless. ...Read more
Bruises on leg - derm biopsy report dx: vascular telangiectasias, sparse perivascular lymphocytic inflammation & hemorrhage. What does this mean?
What other things can cause spider nevi on a 30 yr old male? Liver biopsy and fibroscan ruled out liver disease.
Spider angiomas: are found in distribution of the superior vena cava-- face, neck, upper part of trunk & arms & on the backs of hands & fingers in young children. Due to failure of the sphincteric muscle surrounding a dilated cutaneous arteriole.The dilation is caused by increased estrogen levels in blood as seen in pregant women, those on birth control, & with significant liver disease. Stop alcohol drinking pls ...Read more
No: In and of themselves, varicose veins are not fatal or deadly. However, left untreated, the underlying venous insufficiency that causes varicose veins, can lead to long term complications, some of which can be quite severe, including chronic limb swelling, skin thickening/discoloration/ulceration, infections, clots, or even bleeds. Early treatment can easily avoid these end-stage complications. ...Read moreSee 7 more doctor answers
Nevi laser ablation & subsequent biopsy of nevi if not removed completely cause pathology incorrectly appear atypical due to ablation.Is this logical?
Forgive my frankness: For some reason, you are doubting the diagnosis of an atypical nevus because it had been lasered previously. As a pathologist, I would never make that mistake -- t would be a howler. Previous lasering won't produce the distinctive atypical nevus changes. Get two other pathologists to sign the nevus out with your full history -- two opinions are good on any questionable pigmented lesion. ...Read more
No, they do not: Dysplastic nevi are considered a marker for melanoma risk but not a precursor lesion. Most melanomas arise on normal skin, not in a mole. Sometimes moles do develop melanoma & they start changing, one of the things we look for when suspecting melanoma. We look for abcde asymmetry, border irregularity, color irregularity & change or evolution in melanoma. Any changing mole needs to be seen by derm. ...Read moreSee 1 more doctor answer