Cherry Angioma

Cherry angiomas, also known as Campbell de Morgan spots or senile angiomas, are common, benign skin growths. They often appear as small, bright red or purple spots on the skin and are usually round or oval in shape. Although they are generally harmless, their appearance can be a cosmetic concern for many individuals. 

What are Cherry Angiomas?

Cherry angiomas are clusters of capillaries at the surface of the skin, which form a small, round, and red papule. They typically range in size from a pinpoint to about a quarter of an inch in diameter.

Symptoms and Appearance

These growths are usually bright red, but they can also appear purple or dark blue. They are smooth to the touch and can be either flat or slightly raised. Most commonly found on the torso, arms, and shoulders, cherry angiomas can appear anywhere on the body.

Causes of Cherry Angiomas

The exact cause of cherry angiomas remains unclear, though several factors are believed to contribute to their formation.

Genetic Factors

Genetics play a significant role in the development of cherry angiomas. If your family has a history of these growths, you are more likely to develop them as well.

Age

Cherry angiomas are more common in individuals over the age of 30. Their prevalence increases with age, making them particularly common among older adults.

Hormonal Changes

Hormonal fluctuations, particularly those associated with pregnancy, have been linked to the development of cherry angiomas.

Environmental Factors

Exposure to certain chemicals and environmental factors may also contribute to the formation of cherry angiomas. For instance, some studies suggest a link between cherry angiomas and exposure to bromides.

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Are Cherry Angiomas Cancerous?

One common concern is whether cherry angiomas can become cancerous. The good news is that cherry angiomas are benign and not cancerous. They do not turn into melanoma or other forms of skin cancer. However, any sudden change in the appearance of a cherry angioma—such as rapid growth, bleeding, or a change in color—should be evaluated by a healthcare professional to rule out other skin conditions.

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Diagnosing Cherry Angiomas

Cherry angiomas are usually diagnosed through a simple visual examination by a dermatologist. In cases where the diagnosis is uncertain, a biopsy may be performed to rule out other conditions.

Cherry Angioma ICD-10 Code

In the International Classification of Diseases, Tenth Revision (ICD-10), cherry angiomas are coded as D18.01 – Hemangioma of skin and subcutaneous tissue. This code is used for documentation and insurance purposes.

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Treatment Options for Cherry Angiomas

While cherry angiomas are generally harmless, some individuals opt to have them removed for cosmetic reasons or because they are prone to bleeding. Several treatment options are available:

Laser Treatment

Laser treatment is one of the most effective methods for removing cherry angiomas. It involves using a focused beam of light to target and destroy the blood vessels within the angioma. This method is quick and minimally invasive, with most patients experiencing little to no downtime.

Cryotherapy

Cryotherapy involves freezing the cherry angioma with liquid nitrogen. This method causes the angioma to fall off within a few days to weeks. While effective, cryotherapy may cause temporary skin discoloration.

Electrocautery

Electrocautery uses an electric current to burn off the cherry angioma. This method is precise and can be performed in a dermatologist's office. However, it may require local anesthesia.

Excision

Surgical excision involves cutting out the cherry angioma. This method is typically reserved for larger angiomas or those that do not respond to other treatments. Excision may require stitches and could leave a small scar.

Cherry Angioma Removal Cream

Some over-the-counter creams claim to remove cherry angiomas. However, their effectiveness is questionable, and they may not provide the same results as professional treatments. Always consult a dermatologist before using any topical treatment for cherry angiomas.

Potential Complications

While complications from cherry angiomas are rare, they can occur. Bleeding is the most common issue, particularly if the angioma is traumatized. Infection is another potential complication, though it is uncommon. After removal, there is a small risk of scarring or changes in skin pigmentation.

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Preventative Measures

There are no guaranteed ways to prevent cherry angiomas, but some measures may reduce your risk: