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Skin changes Dermatologic signs in WD may result from liver cirrhosis, such as vascular spiders ( Figure 4 ) and palmar erythema, but other cutaneous findings may be observed during the course of the disease, for example, hyperpigmentation of the legs ( Figure 5 ), azure lunulae of the nails, anetoderma, xerosis, acantosis nigricans, dermatomyositis (59-61)

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