In addition, he had congenital angiomata
cavernosum (presumably, according to mother's description) localized on the left earlobe, which was treated with radiotherapy at the age of 3 months.
were noted in two spots on the right forearm, one spot on the left lower leg, and one spot on the back.
Chronic liver disease has long history, hard liver, splenomegaly and other signs of chronic liver disease like spider angiomata
Clinically there was deep jaundice, splenomegaly, gynecomastia, and a few spider angiomata
over the right arm.
Other findings of note on physical exam include palmar erythema, large pulsatile spider angiomata
, large abdominal wall collateral veins, or fetor hepaticus (breath odor described as sweet, fecal smell), which suggest parenchymal liver disease and portal hypertension (Feldman, 2006; Whiteman & McCormick, 2005).