Yellowing of the Skin (Jaundice)One of the most well-known signs of liver disease is yellowing of the skin, also called jaundice. This happens because the liver is unable to properly remove a yellow pigment called bilirubin from the blood. Bilirubin is produced when old red blood cells break down.When the liver is damaged, bilirubin builds up in the bloodstream and causes the skin and the whites of the eyes to turn yellow. This yellow color is often first seen on the face, hands, and feet. Jaundice is a clear sign that the liver is not functioning well and needs medical attention. Jaundice is also completely reversible, provided it is detected early, and usually has no long term complications.Spider AngiomasSpider angiomas, also known as spider nevi, are small, red, spider-like blood vessels that appear on the skin. They look like a central red dot with tiny lines spreading out like spider legs. These usually appear on the face, neck, upper chest, and arms.These spots occur because liver disease causes hormone imbalances, especially an increase in estrogen. This hormone causes small blood vessels near the skin to widen and form these spider-like patterns. While spider angiomas themselves are harmless, their presence in large numbers can be a sign of liver problems, especially cirrhosis.

Palmar Erythema (Redness of the Palms)Palmar erythema is a condition where the palms of the hands turn red, often symmetrically on both hands. The redness can sometimes feel warm or have a slight burning sensation.This occurs because liver disease causes changes in blood flow and hormone levels, which lead to increased blood circulation in the palms. If you notice persistent redness on your palms without any clear cause like sunburn or irritation, it could be a sign of liver dysfunction, particularly cirrhosis.Itching, Often Worse at Night (Pruritus)Itching without any visible rash is a common but often overlooked symptom of liver disease. This itching, called pruritus, can be very uncomfortable and tends to worsen at night.The cause of this itching is the buildup of bile salts in the bloodstream. When the liver is damaged, it cannot properly remove bile, which then deposits in the skin and triggers an inflammatory response. This leads to persistent itching that does not improve with normal skin creams or allergy treatments. If you experience unexplained itching along with other signs, get yourself tested.