1. Explain the difference between primary biliary cirrhosis and sclerosing cholangitis. A 65-year-old chronic alcoholic presents to the clinic. He is concerned by several physical changes that have occurred over the last year. He has enlarged breasts, red palms, and unusual bloodfilled vessels on his upper chest and face. He prefers not to discuss his other related problem. Explain the cause of his findings and what his other problem might be.
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