Palmar Erythema

Erythema of the thenar/hypothenar portion of the hand with a pale central palm, seen in liver disease (likely from imbalance of estrogens to androgens).

Gastroenterology

Patient 4

This is a middle-aged man with cirrhosis. Note the presence of Dupuytren’s contracture, which is associated with liver disease.

This patient also has spider angiomas as well as a bounding peripheral pulse from the high output state of cirrhosis.