Conversation: The conversation between human and AI assistant.
[|Human|] Is a rash significant when a patient has hepatic encephalopathy? Would it be more related to the dx or more from adjustments of GI meds? The patient is a 72 year old male with hx of cirrhosis, ulcerative colitis, crohns disease, and his meds are Pentasa, Lactulose, Xifaxin, Uroxatrol, Propranolol, Omeprazole. The rash is present on upper arms, around neck, upper legs, and groin and it is pruritic. Thank you
[|AI|]  Hi thanks for asking question. Noted you have cirrhosis and inflammatory bowel disease. In chronic liver disease yes itchy rash and purpura can occur... In cirrhosis hyperestrogen also lead Palmer erythemas.... Morever in ulcerative colitis like inflammatory bowel disease have extraintestinal manifestation like erythema marginate like skin condition... So you have to consult dermatologist for it. He may prescribe you antihistamines, anti-inflammatory Chat Doctor. ... Take care.