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Cherry Hemangiomas (Campbell De Morgan spots Or Senile Angiomas)

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Cherry hemangiomas 
also known as Campbell De Morgan spots or senile angiomas are the most common cutaneous vascular proliferations. They are often widespread and appear as tiny cherry-red papules or macules. Longstanding lesions enlarge slowly over time and take on the appearance of a dome topped with cherry-red to deep-purple papules.

They are more common with advancing age and affect men and women equally.

Clinical Features
  • erythematous, papular lesions
  • typically 1-3 mm in size
  • nonblanching
  • not found on the mucous membranes
Causes: The exact cause of cherry angiomas is unknown, but there may be a genetic factor that makes certain people more likely to get them. They’ve also been linked to pregnancy, exposure to chemicals, and climate.
There also appears to be a link between cherry angiomas and age. They often begin to appear when individuals reach 30 years old, and seem to increase in size and number with age.

Management:
Medical intervention is not helpful and not indicated in the treatment of the benign vascular proliferations of cherry hemangiomas. Perform biopsy on lesions in which the diagnosis is doubtful. The biopsy procedure may be used as a therapeutic measure to remove traumatized or bleeding lesions.

Surgical treatment is recommended only in situations of irritation or hemorrhage or in instances in which the lesions are deemed by the patient to be cosmetically undesirable.

The options include: 
  • Electrocauterization
  • Cryosurgery
  • Laser surgery
  • Shave excision

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