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