Presentation
There are only few case reports of large spider nevi reported in the literature. [1], [2], [7] The present case is unique because of its very large size, rare presentation over the forehead and palpable mass like vascular lesion in a patient with nonalcoholic [ijabmr.org]
Report of a Case.— The patient, a 34-year-old male coal miner, presented in May 1988 complaining of visual disturbances, fatigue, and night sweats of 6 months' duration. [jamanetwork.com]
[…] multiple lesions are present, liver disease, estrogen therapy, and thyrotoxicosis should be considered. [emedicine.medscape.com]
They are common and may be benign, presenting in around 10-15% of healthy adults and young children. However, having more than five spider naevi may be a sign of liver disease. [alrustom-laser.com]
They are common and may be benign, presenting in around 10-15% of healthy adults... (40 of 854 words, 1 image) en.wikipedia.org/wiki/Spider angioma Oxford Dictionary: spider naevus a cluster of minute red blood vessels visible under the skin, occurring [memidex.com]
Workup
Evaluation Solitary spider nevus in otherwise healthy individuals or pregnant women does not warrant further workup. A detailed history and focused physical exam can help to attribute multiple spider angioma to liver disease. [ncbi.nlm.nih.gov]
Treatment
Contact us: 01227 472288 [email protected] Book Online Menu Home About Us About Us/ why choose us Meet The Team Treatments Acne / Acne Scars Acne Rosacea Age Spots Allergy Clinic Anti-Ageing Treatments 8-point Facelift Face – Botox® & Fillers [skinandlaser.co.uk]
Our exceptional treatments panel only meets once a month and DD's case was considered in April 2008, we got treatment in June the same year. Hope this helps. [mumsnet.com]
Treatment is usually not necessary. [skinsupport.org.uk]
Clients should expect some redness following treatment and some small scabs can form, which will drop off a few days following treatment. Price from £50 [thebodydetoxclinic.co.uk]
Laser treatment Laser treatment can provide excellent results in the treatment of skin changes that arise from blood vessels. There a variety of different types, which can be readily treated. [skin55.co.uk]
Prognosis
Cutaneous signs of liver disease: value for prognosis of severe fibrosis and cirrhosis. Liver Int 2008; 28: 659-66. Younis I, Sarwar S, Butt Z, Tanveer S, Qaadir A, Jadoon NA. [termedia.pl]
Prognosis Benign lesions tend to resolve spontaneously but may take a number of years to do so. If associated with pregnancy they tend to go about six or seven months after delivery. [patient.info]
Cutaneous signs of liver disease: value for prognosis of severe fibrosis and cirrhosis. Liver Int. 2008 May. 28(5):659-66. [QxMD MEDLINE Link]. [Full Text]. Hane H, Yokota K, Kono M, Muro Y, Akiyama M. [emedicine.medscape.com]
[…] higher incidence of dyspnea, platypnea, clubbing and spider nevi. [13] Thus, this small, yet valuable, physical sign must be carefully looked for in patients with liver disease as it can provide important information not only regarding severity but also prognosis [jpgmonline.com]
The prognosis for patients with spider nevi is generally excellent unless they have underlying end-stage liver disease. (Level V) Review Questions References 1. Samant H, Kothadia JP. StatPearls [Internet]. [ncbi.nlm.nih.gov]
Etiology
Increased plasma levels of estrogen, vascular dilation, and neovascularisation are possible etiologies. [jpgmonline.com]
The exact etiology of the spider nevus (nevus araneus) is unclear. [emedicine.medscape.com]
It is typically painless, resembles a spider's body), and is surrounded by attenuated capillaries radiating in a spider-legged fashion, decreasing in size toward the margins.[1][2][3] Etiology Spider angiomas are usually benign but often can be suggestive [ncbi.nlm.nih.gov]
Epidemiology
Epidemiology[4] Multiple spider naevi are more indicative of underlying disease. They have been reported in 33% of healthy children. They show an equal sex incidence. [patient.info]
Multiple spider angiomas are characteristic of chronic liver disease with a specificity of 95%.[4] Epidemiology Prevalence of spider angiomas is highest among patients with cirrhosis, alcoholic hepatitis, and hepatopulmonary syndrome. [ncbi.nlm.nih.gov]
Although the finding of 5 or more spider angiomas is more common in persons with liver disease, many healthy children also have one or more of these lesions. [2] Epidemiology Frequency United States Young children and pregnant women most frequently exhibit [emedicine.medscape.com]
Pathophysiology
Mechanisms of Clinical Signs is the first consolidated text of its kind; designed to help medical students and junior doctors understand the pathophysiological mechanisms behind clinical signs. [books.google.de]
Pathophysiology of KMS is generallypresumed to be that of platelet trapping by abnormally proliferating endothelium within angioma. [academic.oup.com]
Pathophysiology Spider naevus is dilation of preexisting central arterioles from which numerous thin-walled capillary branches radiate like spider legs, carrying away freely flowing blood. [ncbi.nlm.nih.gov]
In children, the backs of the hands and fingers are commonly affected. [1, 3] Pathophysiology Vascular malformations can be classified into 6 categories: hamartomas, malformations, dilatations of preexisting vessels, hyperplasias, benign neoplasms, and [emedicine.medscape.com]
Prevention
[…] of Spider Naevus Yes, it may be possible to prevent Spider Naevus. [tabletwise.com]
While no specific preventive measures are known, you may prevent new spider nevi from forming by: avoiding hormone therapy wearing sunscreen on those areas most commonly affected, including the face, neck, and legs controlling your alcohol consumption [healthline.com]