Manifestations of Fatty Liver Disease on the Skin

Symptoms of Fatty Liver Disease on the Skin

Fatty liver disease, also known as hepatic steatosis, is a condition characterized by the accumulation of excess fat in the liver cells. While it often presents with few or no symptoms, especially in the early stages, it can sometimes manifest in various ways on the skin. These skin changes can serve as external indicators of the internal condition of the liver.

Understanding Fatty Liver Disease

Fatty liver disease is divided into two main types: alcoholic fatty liver disease (AFLD), resulting from excessive alcohol consumption, and non-alcoholic fatty liver disease (NAFLD), associated with metabolic conditions like obesity and type 2 diabetes. If not managed properly, both types can progress to more severe liver conditions, including non-alcoholic steatohepatitis (NASH), cirrhosis, and liver cancer.

Skin Symptoms Associated with Fatty Liver Disease

While fatty liver disease is often asymptomatic, some patients may experience noticeable changes in their skin. These changes can include:

  1. Jaundice: One of the most common skin symptoms associated with liver disease is jaundice, which is characterized by a yellowing of the skin and the whites of the eyes. Jaundice occurs when the liver is not able to properly process bilirubin, a by-product of the breakdown of red blood cells.
  2. Pruritus (Itching): Some people with fatty liver disease may experience pruritus, a severe itching sensation. This can occur all over the body and is often worse at night. The exact cause of pruritus in liver disease is not fully understood, but it is believed to be due to the accumulation of bile products in the skin.
  3. Xanthomas and Xanthelasmas: These are yellowish, fatty deposits that can appear on the skin or eyelids. They are caused by high levels of fats in the blood, which can be a result of liver disease.
  4. Spider Angiomas: These are small, spider-like blood vessels visible under the skin. They are more common in people with liver disease due to the increased levels of estrogen in the body.
  5. Palmar Erythema: This is a reddening of the palms and can be a sign of liver disease. It is thought to be caused by blood vessels dilating due to hormonal imbalances related to liver disease.


While these skin symptoms can be associated with fatty liver disease, they can also be indicative of other health conditions. Therefore, if you notice any of these changes, it is important to consult with a healthcare provider for a comprehensive evaluation. Early detection and management of fatty liver disease can prevent its progression to more severe liver conditions.

Remember, maintaining a healthy lifestyle, including a balanced diet and regular exercise, can help prevent and manage fatty liver disease.


  1. Mota, M., et al. (2016). Skin Manifestations of Liver Diseases. Journal of Clinical and Experimental Hepatology, 6(3), 274-283.
  2. Goyal, A., & Terry, P. (2020). Pruritus in systemic disease: Mechanisms and management. Dermatology Clinics, 38(3), 315-324.
  3. Bolognia, J. L., et al. (2018). Dermatology. Elsevier Health Sciences.
  4. Zouboulis, C. C., et al. (2014). Xanthelasma palpebrarum and normolipidaemia. An underestimated coincidence. Acta Dermato-Venereologica, 74(1), 70-72.

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