Liver damage can cause hormonal changes that in turn cause the dilation of small blood vessels. These spider veins are most noticeable on the face and torso. A blotchy redness of the facial skin, palms, and feet are common as well and are usually a result of hormone changes, vitamin deficiencies, or increased pressure in the vascular system. In advanced liver damage, jaundice can give the skin a yellow appearance. Jaundice happens when a waste product, bilirubin, builds up rather than being metabolized by the liver. Consistently high bilirubin can be a sign of acute or advanced liver disease. However, bilirubin can be elevated in other medical conditions as well.
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