Overview

• UK outlets are amplifying guidance from the Cleveland Clinic, the NHS and the British Liver Trust highlighting nail clubbing, blotchy red palms and Terry's nails as possible warning signs.
• Liver disease often shows no early symptoms, with later bile-flow problems leading to jaundice, dark urine, pale stools, itchy skin, weight loss and other systemic effects, according to the Cleveland Clinic.
• Nail clubbing tied to cirrhosis may start in the thumb and index finger before spreading, a change thought to reflect increased blood flow that widens fingertip vessels.
• Palmar erythema occurs in about 23% of people with cirrhosis and can be harder to detect on brown or black skin, the coverage notes from Medical News Today and the NHS.
• Terry's nails look largely white with a narrow colored band at the tip and were historically observed in most cirrhosis patients; other skin signs include spider angiomas, petechiae, xanthelasma and easy bruising.