Fatty liver disease may cause bilirubin accumulation which leads to jaundice where the skin, eyes and mucous membranes turn yellow.
Excess of bile, the acids may precipitate in the skin, causing ongoing itchiness; inflammation in the liver that spark pruritus.
Spider veins, or spider angiomas, are thread-like lesion resulting from capillaries in the skin dilating; forming as a red spot with connecting ‘veins’.
The link between rosacea and NAFLD and NASH make it possible to hypothesize that rosacea effectively symbolizes the facial manifestation of fatty liver.
This results in acanthosis nigricans, which is a dark black skin discoloration that is usually observed in the skin folds with a rough appearance and indistinct border.