Is dark circles a problem with liver function?

Patient's question:

My child was hospitalized a few weeks ago due to a fit. The hospital reported elevated myocardial enzymes, high liver function except for two items, and positive Mycoplasma pneumoniae. The electroencephalogram showed "borderline brain topography," and the CT scan was normal. The diagnosis was bronchopneumonia and viral encephalitis. After 9 days of intravenous treatment, he was discharged. The doctor prescribed azithromycin granules, pyritirosine hydrochloride tablets, vitamin C, and inosine tablets. After taking them for the first day, he started having a high fever at 10 p.m., with a temperature ranging between 37.1-38°C. At night, it reached 39.6°C, but it came down after sweating. On the third day, his temperature was more stable, ranging between 37.3-37.5°C. In the afternoon of the third day, he started itching, and by that evening, he had small rashes all over his back. By the fifth day, the rashes had disappeared. He stopped taking the antibiotics and switched to "Yandu." Everything returned to normal after that. After taking Yandu for a week, he stopped all medications. It has been 7 days since stopping the medication. Upon close inspection, I noticed he still has some dark circles under his eyes. Could this be related to liver function issues?

Doctor's answer:

Dark circles under the eyes are an external manifestation of many chronic diseases, such as chronic liver disease, especially in cases where liver function is abnormal for a long time or the liver is enlarged. Dark circles often persist for an extended period. Approximately 20% of liver disease patients develop hyperpigmentation in exposed areas, such as the face and around the eyes, resulting in dark circles. The treatment for chronic liver disease is primarily based on rest and dietary therapy. It aims to reduce liver stress while providing adequate nutrition to repair damaged liver cells and fully restore liver function.

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