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Tinea nigra, also known as superficial phaeohyphomycosis and Tinea nigra palmaris et plantaris, [2] is a superficial fungal infection, a type of phaeohyphomycosis rather than a tinea, that causes usually a single 1–5 cm dark brown-black, non-scaly, flat, painless patch on the palms of the hands and the soles of the feet of healthy people. [1]
Chronic liver disease (including chronic hepatitis [2]) Pregnancy; Polycythemia; Thyrotoxicosis; Rheumatoid arthritis (especially in patients with polycythaemia) [3] Eczema and psoriasis; Deep telangiectasias; Coxsackievirus A infection (Hand, foot and mouth disease) [4] Rocky Mountain spotted fever [4] Secondary syphilis [4] Kawasaki disease
The spots derive their name from the fact that they were once incorrectly believed to be caused by liver problems, but they are physiologically unrelated to the liver, save for a similar color. [6] From the age of 40, the skin is less able to regenerate from sun exposure, and liver spots are very common in this age group, particularly in those ...
PCT is a chronic condition, with external symptoms often subsiding and recurring as a result of multiple factors. In addition to the skin lesions, chronic liver disease is very common in patients with sporadic PCT. This involves hepatic fibrosis (scarring of the liver), and inflammation.
Janeway lesions present as red, painless macules and papules on the palms and soles. [2]They are not common and are frequently indistinguishable from Osler's nodes.Rarely, they have been reported in cases of systemic lupus erythematosis (SLE), gonococcemia (disseminated gonorrhoea), haemolytic anaemia and typhoid fever.
Liver showing chronic passive congestion associated with tricuspid valve incompetence. So called 'nutmeg liver', Split nutmeg, for those who have never seen this appearance. Close up of congested liver showing the 'nutmeg' appearance. Congestive hepatopathy, is liver dysfunction due to venous congestion, usually due to congestive heart failure.
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It frequently occurs in the setting of liver failure, cirrhosis, diabetes mellitus, congestive heart failure, hyperthyroidism, or malnutrition. Eighty percent of patients with severe liver disease have Terry's nails, but they are also found in people with kidney failure, in patients with congestive heart failure [ 4 ] and are described as a ...