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Chronic liver diseases are characterized by several skin manifestations, including cutaneous vascular changes such as spider angioma and palmar erythema.¹ We describe 2 patients with chronic liver disease and arteriovenous hemangiomas (AVH)² (cutaneous, benign, acquired vascular lesions) on their foreheads.

Report of Cases

The first patient, a 59-year-old man, had active chronic hepatitis associated with hepatitis C virus for 15 years and noticed a papule on his forehead 10 years after the onset of the disease. The second patient, a 48-year-old man, was diagnosed as having alcoholic hepatitis 3 years ago and liver cirrhosis 2 years later. A papule appeared on his forehead 10 months before his consultation with us. On examination, both patients had an asymptomatic, solitary, dome-shaped, reddish papule, 5 to 6 mm in diameter, on their foreheads (Figure 1). Under an initial diagnosis of hemangioma, the papules were totally resected, and histopathological examinations revealed typical features of AVH: . . . [Full Text of this Article]

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Corresponding author: Masashi Akiyama, MD, P, Division of Dermatology, Kitasato Institute Hospital, 5-9-1, Shirokane, Minato-ku, Tokyo 108-8642, Japan.