The significance of cutaneous spider naevi in children

Finn, Susan M.; Rowland, Marion; Lawlor, Frances; Kinsella, W; L, Chan; Byrne, Owen; O'Mahony, Orla; Bourke, Billy

doi:10.1136/adc.2005.086512

Cited by 17 publications

(9 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The NO is a potent endothelial vasodilator and could be responsible for intrapulmonary vasodilatation, since in cirrhotic patients the serum levels of this substance are elevated, possibly due to endotoxemy observed in this group of patients, which would induce an increased production of NO (9,12,14,15,23) .…”

Section: Discussionmentioning

confidence: 99%

“…The SA are lesions that appear as red spots, shiny, with numerous microvascular radiations wich pales when pressure on a central spot is temporarily applied (2,5,15,23,32,36) . They may be present in physiological situations, as in pregnancy, on children, on women in use of oral contraceptives, but are commonly asso-ciated with chronic liver diseases, its prevalence is variable, ranging from 4 to 47% depending on diagnostic criteria and methods used (23) .…”

mentioning

confidence: 99%

See 1 more Smart Citation

Are the Spider Angiomas Skin Markers of Hepatopulmonary Syndrome?

Silvério

Guimarães

Elias

et al. 2013

Arq. Gastroenterol.

View full text Add to dashboard Cite

Context Hepatopathies can significantly influence both veins and arteries, these changes may cause some cutaneous stigmas, such as spider angioma (SA) and some systemic vascular changes, such as those observed in hepatopulmonary syndrome (HPS). Based on this common pathophysiological root we can assume that the SA can be skin markers of HPS. Objective The objective of this study is to assess whether there is a relationship between the presence of SA and HPS. Methods Records of 40 patients with liver cirrhosis who underwent contrast echocardiography were evaluated, in which we researched the description of SA, physical examination, and other clinical and laboratory data. For diagnosis of HPS we use these signs of the disease: presence of liver disease (cirrhosis in the case), abnormalities in gas exchange by arterial blood gases, and evidence of pulmonary vasodilations by the contrast echocardiography. Results The SA were found in 21/40 (52.5%) patients and hepatopulmonary syndrome in 9/40 (22.5%). The HPS was observed in 8/21 (38.1%) of patients with SA and 1/19 (5.3%) patients were without this sign (P<0.01). We found no statistically significant difference between the SA and the presence of HPS with sex or age. Patients with SA had a higher hypoxemia [PaO2 84.8 ± 11.5 mmHg and 19.8 ± 14.7 mmHg alveolar-arterial gradient of oxygen (AAG)] than those without SA (PaO2 90.8 ± 10.7 mmHg and 10.9 ± 11.7 AAG mmHg) (P<0.05). Conclusion Our findings show a correlation between the presence of SA and HPS, suggesting that the SA may be cutaneous markers of HPS.

show abstract

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Are the Spider Angiomas Skin Markers of Hepatopulmonary Syndrome?

Silvério

Guimarães

Elias

et al. 2013

Arq. Gastroenterol.

View full text Add to dashboard Cite

show abstract

“…[25][26][27][28] Although spider angiomas are common in pregnant women and in children, adults with spider angiomas deserve a workup for liver dysfunction. 29 Given their innocuous nature and asymptomatic course, spider angiomas themselves require no medical treatment.…”

Section: Prurigo Nodularismentioning

confidence: 99%

Recognizing and treating cutaneous signs of liver disease

Hazin

Tamimi

Abuzetun

et al. 2009

CCJM

View full text Add to dashboard Cite

show abstract

“…Spider angiomas are lesions that appear as red spots, shiny, with numerous microvascular radiations which pale when pressure on a central spot is temporarily applied [1][2]. This condition was frequently associated with hepatic abnormalities [3].…”

Section: Sirmentioning

confidence: 99%

“…This condition was frequently associated with hepatic abnormalities [3]. Spider angiomas also called nevus araneus are lesions that appear as bright red small shiny lesions with numerous microvascular radiations which pale when pressure on a central spot is temporarily applied [1][2][3]. These lesions are made of small vessels radiating from center to peripheric zone.…”

Section: Sirmentioning

confidence: 99%