11th July 2023

A 68-year-old alcoholic male presents with a distended abdomen with prominent veins overlying the skin around his umbilicus

A 68-year-old alcoholic male presents with a distended abdomen with prominent veins overlying the skin around his umbilicus (see image below). On clinical examination, he appeared mildly confused and was noted to have asterixis. His chest appeared to have clusters of red papules with peripheral splaying.

Prominent veins overlying the skin

What is the most likely skin manifestation?

Select the SINGLE most appropriate option from the list below. Select ONE option only.