II. Epidemiology
- Common lesion in adults over age 40
- Increase in number with age
III. Pathophysiology
- Composed of dilated capillaries
IV. Causes
- Most cases are idiopathic associated with aging
- Chemical exposure
- Mustard Gas
- 2-Butoxyethanol
- Hormomal changes
- Pregnancy
- Increased Prolactin
V. Symptoms
- Asymptomatic
- Lesion may bleed significantly with local Trauma
VI. 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)
VII. Differential Diagnosis
- Angiokeratoma
- Venous lake
- Pyogenic Granuloma
- Nodular amelanotic Melanoma
- Metastatic carcinoma (hypernephroma)
VIII. Management: Cosmetic removal (or if recurrent Trauma with bleeding)
- Laser coagulation (laser ablation)
- Electrocautery (electrodesiccation)
- Excision of larger lesions
- Cryotherapy is not effective