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cherry angioma (senile hemangioma, Campbell de Morgan spot)
Bright-red to violaceous domed vascular lesions
Epidemiology: very common
Pathology:
1) moderately dilated capillaries lined by flattened endothelium
2) edematous stroma
3) homogenization of collagen
4) benign
Clinical manifestations:
1) bright-red to violaceous domed lesions which may occur as isolated lesions or as myriads of tiny red spots simulating petechiae
2) generally found on trunk
3) lesions generally appear after 30 years of age & increase in number
* images [3,4]
Laboratory:
- skin biopsy not necessary [2]
Differential diagnosis:
1) angiokeratoma (especially on genital skin)
2) venous lake
3) pyogenic granuloma
4) nodular melanoma
5) metastatic carcinoma to skin (especially hypernephroma)
Management:
1) lesions are of cosmetic significance only
2) electro- or laser coagulation of small lesions
3) excision of larger lesions
4) cryotherapy with liquid nitrogen is not effective
Related
angiokeratoma
melanoma
pyogenic granuloma ;granuloma telangiectaticum; lobular capillary hemangioma
renal cell carcinoma (hypernephroma, Grawitz tumor)
venous lake
General
nevus
cutaneous hemangioma
References
- Color Atlas & Synopsis of Clinical Dermatology, Common
& Serious Diseases, 3rd ed, Fitzpatrick et al, McGraw Hill, NY,
1997, pg 156
- Medical Knowledge Self Assessment Program (MKSAP) 17,
American College of Physicians, Philadelphia 2015
- Brown CW, Elston DM (image)
Medscape: Cherry Hemangioma
http://emedicine.medscape.com/article/1082935-overview
- DermNet NZ. Angiomas (images)
http://www.dermnetnz.org/vascular/angioma.html