Angioma seniles D18.01

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

Cherry-angioma; De Morgan spot; Haemangioma senile; Haemangioma seniles; haemangioma tardives; hemangioma senile; hemangioma seniles; Morgan stain; Ruby stain; telangiectasia papulosa disseminata

Definition
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Harmless, frequent, localized or multiple capillary neoplasm that occurs mainly in older people.

Manifestation
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Predominantly occurring from the 4th decade of life, preferably in seborrhoic skin type.

Localization
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Mainly on the trunk, less frequently on the extremities.

Clinical features
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Totally asymptomatic, 0.1-0, cm in size, sharply defined, initially light red, later dark red to violet, soft, flat papules with smooth, shiny surface. They can occur singly, but also in great numbers. Fading under glass spatula pressure. In case of thrombosis (e.g. after banal trauma) the senile angioma can impress as hard, black papules (DD: melanoma, malignant, nodular).

Histology
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Convolute of ectatic capillary vessels in the papillary stratum.

Therapy
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A medical indication for removal is only given in case of constant mechanical irritation at unfavourable locations. On request electrocautery or narrow-spindle excision or laser treatment(argon laser, dye laser).

Literature
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  1. Aghassi D (2000) Time-sequence histologic imaging of laser-treated cherry angiomas with in vivo confocal microscopy. J Am Acad Dermatol 43: 37-41

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 29.10.2020