Liver palms alone do not usually cause itchy skin, but with hyperbilirubinemia may cause itchy skin.
Liver palms refer to the congestion of the skin at the level of the small and large fiducial margins, and most often occur during the decompensated phase of cirrhosis due to chronic liver disease, in which the metabolism of sex hormones is abnormal, manifested by an increase in estrogen and a decrease in androgens, and the occurrence of liver palms is related to the increase in estrogen.
The specific manifestation of liver palms is that the palmar surface of both sides of the palms of both hands, the big and small fishes and the fingertips are red spots after congestion, and become pale after pressure, and red after decompression, the color of the palms is generally normal, and a large number of congested arteries are seen, and it can also occur on the soles of the feet. It usually does not lead to itching of the skin.
However, when the primary disease of the liver palm (i.e. chronic liver disease) liver cells are extensively necrotic, there is often an increase in blood bilirubin, which may be manifested by skin itching.
Liver palms with or without itchy skin should be seen in a regular hospital and treated according to the doctor’s instructions.