Which physical finding are characteristic of decompensated liver disease in hepatitis C (hep C) infection?

Updated: Oct 07, 2019
  • Author: Vinod K Dhawan, MD, FACP, FRCPC, FIDSA; Chief Editor: BS Anand, MD  more...
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Physical findings usually are not abnormal until portal hypertension or decompensated liver disease develops. Signs in patients with decompensated liver disease include the following:

  • Hand signs: Palmar erythema, Dupuytren contracture, asterixis, leukonychia, clubbing

  • Head signs: Icteric sclera, temporal muscle wasting, enlarged parotid gland, cyanosis

  • Fetor hepaticus

  • Gynecomastia, small testes

  • Abdominal signs: Paraumbilical hernia, ascites, caput medusae, hepatosplenomegaly, abdominal bruit

  • Ankle edema

  • Scant body hair

  • Skin signs: Spider nevi, petechiae, excoriations due to pruritus

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