Fatty liver is a chronic condition that occurs when your liver accumulates too much fat—mostly because of obesity, high cholesterol, or excessive alcohol intake. Doctors say the condition leads to inflammation in your liver apart from fibrosis. And after a certain point, fibrosis becomes irreversible, turning into cirrhosis - a scarring of liver tissue.

Apart from the internal effects, cirrhosis also manifests into external skin symptoms that can be visible in your hands and palms. Doctors say these are your body's response to the metabolic, hormonal, and inflammatory changes that are associated with the condition.

Liver cirrhosis leads to hormonal imbalances that cause liver dysfunction as it affects the organ's role in metabolising hormones—thereby resulting in pigmentation in your hands and other body parts.

According to doctors, if you suddenly notice greyish and blackish pigmentation on your hands and arms, you need to get yourself checked thoroughly. Additionally, liver damage can lead to blood cell leakage and iron deposition in the skin, causing further pigmentation changes.

Noticing red palms—a condition also known as palmar erythema—is a potential symptom of fatty liver disease, especially in its advanced stages. It leads to your palms appearing unusually red, often due to altered blood flow and hormonal imbalances linked to liver dysfunction.

According to experts, the redness can also resemble a rash, and the skin turns pale when pressed. Palmar erythema is also generally not itchy or painful; however, the skin feels warm to the touch. The degree of redness varies, depending on several factors like your person’s body temperature, physical activity, and emotional state. Doctors say even though palmar erythema is not usually a harmful condition, signs around the base of the thumb and little finger may happen due to altered blood flow and hormonal imbalances caused by liver dysfunction.

Also known as telangiectasia, spider veins are small and dilated blood vessels near your skin’s surface, especially on your arms and hands. Doctors say they can be caused by liver disease and cirrhosis due to hormonal changes, especially elevated estrogen levels.

These lesions are commonly found on the upper body and can be differentiated from other skin conditions like rosacea.

If you have an advanced case of liver disease, your fingertips can become round and spherical - a condition known as clubbing. Doctors say mostly the condition is linked to reduced levels of oxygen in your blood and indicates serious underlying health issues like cirrhosis or liver fibrosis.

Usually, it happens due to an increase in peripheral blood flow with dilation of the veins in the finger.

If you have been suffering from increased and chronic itching on your arms and hands—especially if accompanied by other symptoms like jaundice—it can be a sign of liver cirrhosis.

Doctors say itching is often a result of a buildup of bile salts in the blood, which can irritate your skin. However, doctors advise it is important to avoid scratching that itch because it can make matters much worse. Keep your fingernails short so that if you do scratch, you are less likely to break the skin and open the door to infection.

It is important to manage the symptoms caused by liver cirrhosis, which includes adopting a healthy lifestyle to improve liver health and overall well-being.

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