cherry angioma (senile hemangioma, Campbell de Morgan spot)
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Introduction
Bright-red to violaceous domed vascular lesions
Epidemiology
very common
Pathology
- moderately dilated capillaries lined by flattened endothelium
- edematous stroma
- homogenization of collagen
- benign
Clinical manifestations
- bright-red to violaceous domed lesions which may occur as isolated lesions or as myriads of tiny red spots simulating petechiae
- generally found on trunk
- lesions generally appear after 30 years of age & increase in number
Laboratory
- skin biopsy not necessary[2]
Differential diagnosis
- angiokeratoma (especially on genital skin)
- venous lake
- pyogenic granuloma
- nodular melanoma
- metastatic carcinoma to skin (especially hypernephroma)
Management
- lesions are of cosmetic significance only
- electro- or laser coagulation of small lesions
- excision of larger lesions
- cryotherapy with liquid nitrogen is not effective
More general terms
Additional terms
- angiokeratoma
- melanoma
- pyogenic granuloma ;granuloma telangiectaticum; lobular capillary hemangioma
- renal cell carcinoma (hypernephroma, Grawitz tumor)
- venous lake
References
- ↑ Color Atlas & Synopsis of Clinical Dermatology, Common & Serious Diseases, 3rd ed, Fitzpatrick et al, McGraw Hill, NY, 1997, pg 156
- ↑ Jump up to: 2.0 2.1 Medical Knowledge Self Assessment Program (MKSAP) 17, American College of Physicians, Philadelphia 2015
- ↑ Jump up to: 3.0 3.1 Brown CW, Elston DM (image) Medscape: Cherry Hemangioma http://emedicine.medscape.com/article/1082935-overview
- ↑ Jump up to: 4.0 4.1 DermNet NZ. Angiomas (images) http://www.dermnetnz.org/vascular/angioma.html