CHERRY ANGIOMA
CHERRY ANGIOMA ICD-10: D18.012
• Cherry angiomas are exceedingly common, asymptomatic, bright red to violaceous or even black, domed vascular lesions (∼3 mm) (Fig. 9-23), or occurring as myriads of tiny red papules simulating petechiae.
• They are found principally on the trunk. The lesions appear first at about age 30 and increase in number over the years.
• Almost all elderly people have a few lesions.
• The histology consists of numerous moderately dilated capillaries lined by flattened endothelial cells; stroma is edematous with homogenization of collagen.
• They are of no consequence other than their cosmetic appearance. Management is electro- or laser coagulation if indicated cosmetically.
FIGURE 9-23 • Cherry angiomas These bright red, violaceous, or even black lesions appear progressively on the trunk with advancing age.