Spider Angioma

A form of telangiectasias where a central arteriole feeds telangiectasias, and is seen in conditions of estrogen excess, such as pregnancy and liver disease. In liver disease, the spiders are most often seen in the face and chest areas (drained by the SVC), and is more commonly seen in alcoholic liver disease compared to other etiologies.

Gastroenterology

Patient 1

This is a young woman with Laennec’s cirrhosis.

This patient also has jaundice and palmar erythema.