Liver palms are not necessarily liver disease. Liver palms are flaky congested or reddish patches of skin on the palms of the hands at the size of the piriformis, which fade when pressure is applied. The appearance of liver palms is generally thought to be related to diminished inactivation of estrogen by the liver. Liver palms may be related to physiologic causes such as alcohol consumption and pregnancy, as well as pathologic causes such as hepatitis and cirrhosis, as described below. 1. Physiological causes: If there are causes such as alcohol consumption, exertion and other liver injuries, and pregnancy leads to an increase in estrogen, the patient may develop liver palms, and a part of the population may be congenitally thin skin on the palms of the hands, which may also appear similar to the manifestation of liver palms. 2. Pathological reasons: if you suffer from viral hepatitis, fatty liver, cirrhosis and other liver diseases, due to liver function decline on estrogen inactivation weakened, patients may appear liver palms performance. There are many causes for liver palms, so it is recommended to consult a doctor in time after discovering liver palms to make a clear diagnosis, so as to avoid delaying the condition.