Patient's question:
Hepatitis B for over ten years, recently spider angiomas reappeared on my chest. I had tests for HBsAg, anti-HBs, HBeAg, anti-HBe, anti-HBc, viral DNA, ultrasound, and liver fibrosis, all of which were normal. The HBsAg has turned negative, and there are antibodies. However, I have moderate fatty liver. I don’t know why I have spider angiomas? Help from you: I don’t have hepatitis or cirrhosis. What are spider angiomas related to? Are they related to moderate fatty liver?Doctor's answer:
Thank you very much for your invitation to explain. First, it must be clarified that spider angiomas are primarily related to elevated estrogen levels. Most patients are pregnant women, liver disease patients, or those with endocrine changes. PS: Liver disease does not refer solely to hepatitis B; conditions like fatty liver and drug-induced liver injury are also considered liver diseases.Next, the age of the person seeking consultation is 67, and they have a history of hepatitis B but have since become negative. Their fatty liver is moderate. Based on my previous speculation, it is not difficult to understand why spider angiomas have developed. Spider angiomas are merely the result of hormonal interference with blood vessels, causing visible capillaries to expand in a radial pattern around the lesion.