CV

Senile Angioma

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Senile Angioma, Cherry Angioma, Cherry Hemangioma, Campbell de Morgan Spot

  • Epidemiology
  1. Common lesion in adults over age 40
  2. Increase in number with age
  • Pathophysiology
  1. Composed of dilated capillaries
  • Causes
  1. Most cases are idiopathic associated with aging
  2. Chemical exposure
    1. Mustard Gas
    2. 2-Butoxyethanol
  3. Hormomal changes
    1. Pregnancy
    2. Increased Prolactin
  • Symptoms
  1. Asymptomatic
  2. Lesion may bleed significantly with local Trauma
  • Signs
  1. Characteristics
    1. Benign soft, compressible dome-shaped Papule
    2. Small (< 6 mm diameter)
    3. Bright red (cherry red) or violet colored lesions
    4. Vascular and blanches with pressure
  2. Distribution
    1. Trunk
    2. Proximal extremities (especially arms)
  • Differential Diagnosis
  1. Angiokeratoma
  2. Venous lake
  3. Pyogenic Granuloma
  4. Nodular amelanotic Melanoma
  5. Metastatic carcinoma (hypernephroma)
  • Management
  • Cosmetic removal (or if recurrent Trauma with bleeding)
  1. Laser coagulation (laser ablation)
  2. Electrocautery (electrodesiccation)
  3. Excision of larger lesions
  4. Cryotherapy is not effective
  • References
  1. Higgins (2015) Am Fam Physician 92(7): 601-7 [PubMed]