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Spider angioma, involving central arterioles surrounded by radiating capillaries, occurs in 33% of alcohol-associated cirrhosis cases and is also linked to hepatopulmonary syndrome, arising from increased blood flow to the surface capillaries

Scand J Med Sci Sports

Baumgart M, Dogan B, Rishniw M, Weitzman G, Bosworth B, Yantiss R, et al

Defects in the L-carnitine shuttle (L-carnitine is released from fatty acid and creates acetyl-CoA) in the mitochondria mainly disturb the oxidation of long-chain fatty acids, as a medium- and short-chain fatty acids may directly penetrate mitochondrial membranes without L-carnitine mediation