eMedicine Specialties > Dermatology > Diseases of the Vessels
Cherry Hemangioma: Differential Diagnoses & Workup
Updated: May 9, 2008
- Overview
- Differential Diagnoses & Workup
- Treatment & Medication
- Follow-up
- Multimedia
Differential Diagnoses
Other Problems to Be Considered
Angiokeratoma of Mibelli
Angiokeratoma of the vulva
Petechiae
Thrombocytopenia or other bleeding disorders (if lesions are numerous and present as small macules)
Workup
Laboratory Studies
- The diagnosis is usually made clinically; however, biopsy allows histopathologic confirmation in doubtful situations.
Procedures
- A skin biopsy (shave or punch) allows histologic confirmation of the diagnosis.
Histologic Findings
On scanning magnification, a sharply circumscribed vascular proliferation usually is noted, often embraced in part by a collarette of epithelium and adnexal structures. Higher magnification demonstrates numerous venules in a thickened papillary dermis. Older lesions often display prominent collagen bundles, which is an appearance suggesting septa.
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| Overview: Cherry Hemangioma |
Differential Diagnoses & Workup: Cherry Hemangioma |
| Treatment & Medication: Cherry Hemangioma |
| Follow-up: Cherry Hemangioma |
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References
Pembroke AC, Grice K, Levantine AV, Warin AP. Eruptive angiomata in malignant disease. Clin Exp Dermatol. Jun 1978;3(2):147-56. [Medline].
Dawn G, Gupta G. Comparison of potassium titanyl phosphate vascular laser and hyfrecator in the treatment of vascular spiders and cherry angiomas. Clin Exp Dermatol. Nov 2003;28(6):581-3. [Medline].
Gupta G, Bilsland D. A prospective study of the impact of laser treatment on vascular lesions. Br J Dermatol. Aug 2000;143(2):356-9. [Medline].
Calonje E, Wilson-Jones E. Vascular tumors: tumors and tumor-like conditions of blood vessels and lymphatics. In: Elder D, Elenitsas R, Jaworsky C, Johnson B Jr, eds. Lever's Histopathology of the Skin. 8th ed. Philadelphia, Pa: Lippincott-Raven; 1997:902.
Hagiwara K, Khaskhely NM, Uezato H, Nonaka S. Mast cell "densities" in vascular proliferations: a preliminary study of pyogenic granuloma, portwine stain, cavernous hemangioma, cherry angioma, Kaposi's sarcoma, and malignant hemangioendothelioma. J Dermatol. Sep 1999;26(9):577-86. [Medline].
Mazereeuw-Hautier J, Cambon L, Bonafé JL. [Eruptive pseudoangiomatosis in an adult renal transplant recipient]. Ann Dermatol Venereol. Jan 2001;128(1):55-6. [Medline].
Odom RB, James WD, Berger TB. Dermal and subcutaneous tumors: cherry angiomas. In: Andrew's Diseases of the Skin: Clinical Dermatology. 2000. 9th ed. Philadelphia, Pa: WB Saunders; 2000:751.
Sanchez JL, Ackerman AB. Vascular proliferations of skin and subcutaneous tissue. In: Fitzpatrick's Dermatology in General Medicine. Vol 1. New York, NY: McGraw-Hill; 1993:1219-20.
Further Reading
Keywords
Campbell de Morgan spots, senile angiomas
Differential Diagnoses & Workup: Cherry Hemangioma