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Top image credit: Mike Blyth Hand, foot, and mouth disease KlatschmohnAcker / Wikimedia Commons What it looks like : Hand, foot, and mouth disease is named for its characteristic flat, red spots that appear on the palms, soles of the feet, and around the mouth

You might also see it named PL 14736, PL-10 and Bepecin

Referral to hepatology is recommended for patients with: Elevated fibrosis risk on FIB-4 or ELF testing (per NICE NG49) Signs of decompensation : jaundice, ascites (abdominal swelling), hepatic encephalopathy (confusion), or gastrointestinal bleeding Uncertain diagnosis or complex management needs Nutritional support from a dietitian experienced in liver disease can optimise outcomes