Angioma seniles D18.01

Very frequent and usually multiple, harmless, benign vascular neoplasms that occur in older people.

Completely asymptomatic, 0.1-0, cm in size, sharply defined, initially light red, later dark red to violet, soft, flat papules with a 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).

An eruptive occurrence of "senile" angiomas can be an expression of a systemic disease (e.g. a lymphoproliferative systemic disease). They may be associated with POEMS syndrome or Castleman lymphoma.

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
2. Cohen AD et al (2001) Cherry angiomas associated with exposure to bromides. Dermatology 202: 52-53
3. Fajgenbaum DC et al (2014) Eruptive cherry hemangiomatosis associated with multicentric Castleman disease: a case report and diagnostic clue. JAMA Dermatol 149:204-208.
4. Gupta G, Bilsland D (2000) A prospective study of the impact of laser treatment on vascular lesions. Br J Dermatol 143: 356-359