cherry angioma (senile hemangioma, Campbell de Morgan spot)

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

* images

Laboratory

• skin biopsy not necessary

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

• nevus
• cutaneous hemangioma

Additional terms

• angiokeratoma
• melanoma
• pyogenic granuloma ;granuloma telangiectaticum; lobular capillary hemangioma
• renal cell carcinoma (hypernephroma, Grawitz tumor)
• venous lake