What should I do if I have spider angiomas despite normal liver function tests?

Patient's question:

I have a spider angioma on my body. I thought having one meant liver problems, but my liver function is normal. How can I have a spider angioma with normal liver function?

Doctor's answer:

The reason why patients with chronic liver disease frequently develop spider nevi is mainly related to abnormal estrogen inactivation function. If spider nevi frequently appear in non-chronic liver disease patients, the cause is not related to abnormal sex hormone levels. Other factors should be considered, and the condition of the spider nevi needs to be confirmed. If the spider nevi are caused by chronic liver disease, they will gradually disappear as the disease is actively treated and improves or resolves.

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