Cherry Angiomas Removal: Causes, Symptoms, and Effective Treatments

Learn about cherry angiomas, including their causes (age, genetics, sun exposure), symptoms (appearance, location, size), and effective removal treatments like laser therapy, cryotherapy, electrocautery, and shave excision. Understand when to see a doctor and explore potential preventive measures.

What are Cherry Angiomas

Cherry angiomas, also known as Campbell de Morgan spots or senile angiomas, are small, bright red, skin growths that typically appear on the torso, arms, and legs. They are formed by a collection of dilated capillaries (tiny blood vessels) close to the surface of the skin. While often referred to as "senile" angiomas, they are not necessarily a sign of aging and can occur in people of all ages, though they become more common after age 30.

These benign (non-cancerous) growths are usually dome-shaped and can range in size from a pinhead to a few millimeters in diameter. Occasionally, they can be slightly raised or flat. While most cherry angiomas are bright red, some may appear purplish or even bluish.

Cherry angiomas are generally harmless and don't require treatment unless they bleed, become irritated, or are cosmetically undesirable. It's important to differentiate cherry angiomas from other skin growths, such as spider angiomas or moles. If you have any concerns about a skin lesion, consult a doctor or healthcare professional for proper diagnosis and advice.

Causes of Cherry Angiomas

While the exact cause of cherry angiomas remains unknown, several factors are believed to contribute to their development. These include:

Age

Cherry angiomas are most common in adults over 30, with their prevalence increasing with age. It's rare to see them in children. While the reason for this age correlation isn't fully understood, it suggests that cumulative exposure to various environmental factors and the natural aging process of the skin may play a role.

Genetics

Family history appears to influence the likelihood of developing cherry angiomas. If your parents or close relatives have them, you may be more predisposed to developing them as well. This suggests a genetic component, although specific genes haven't been definitively identified.

Sun Exposure

Some studies suggest a link between sun exposure and the development of cherry angiomas, particularly in fair-skinned individuals. While more research is needed to confirm this connection, protecting your skin from excessive sun exposure is generally recommended for overall skin health.

Other Potential Factors

Several other factors are being investigated for a potential link to cherry angiomas, although more research is needed to establish definitive connections. These include:

Potential Factor	Description
Hormonal Changes	Fluctuations in hormone levels, particularly during pregnancy, may influence the development of cherry angiomas.
Chemical Exposure	Exposure to certain chemicals, such as bromine, mustard gas, and some pesticides, has been anecdotally linked to the appearance of cherry angiomas. Further research is needed to confirm these links.
Underlying Medical Conditions	In rare cases, a sudden increase in the number of cherry angiomas can be associated with underlying medical conditions. If you experience this, it's important to consult a doctor for further evaluation.
Climate	Some evidence suggests that climate may play a role. For example, they appear to be more common in people living in warmer climates.

It's important to note that while these factors are associated with cherry angiomas, they don't guarantee their development. Some individuals with these risk factors may never develop cherry angiomas, while others without any apparent risk factors might. Further research is needed to fully understand the underlying mechanisms involved in their formation.

Symptoms of Cherry Angiomas

Appearance

Cherry angiomas typically appear as small, smooth, dome-shaped bumps on the skin. Their color ranges from bright cherry-red to purplish-blue, depending on the size and depth of the blood vessels involved. They can sometimes appear flat initially and become raised over time. While usually round or oval, they can also be irregular in shape.

Location

While cherry angiomas can appear virtually anywhere on the body, they are most commonly found on the torso, arms, legs, and shoulders. They are less common on the face, scalp, and genitals, but can still occur in these areas.

Size

Cherry angiomas vary in size, typically ranging from a pinhead (less than 1 millimeter) to several millimeters in diameter. Some can grow larger, reaching up to a centimeter or more across, although this is less common. Most remain small and do not change significantly in size once they appear.

Symptoms (or Lack Thereof)

Most cherry angiomas are asymptomatic, meaning they don't cause any pain, itching, or discomfort. Some larger angiomas, especially those located in areas of friction (like under clothing or in skin folds), may occasionally bleed if irritated or scratched. This bleeding is usually minor and stops quickly. It is important to note that any changes in size, shape, color, or the development of symptoms like itching or bleeding should be evaluated by a doctor to rule out other skin conditions.

Characteristic	Typical Presentation
Color	Bright red, purplish-red, or blueish-red
Shape	Dome-shaped, round, or oval (sometimes flat or irregular)
Size	Pinhead to several millimeters (rarely larger)
Texture	Smooth
Symptoms	Usually asymptomatic; may bleed if irritated

Cherry Angioma Removal and Treatment Options

Several methods are available for removing cherry angiomas. The best option depends on factors like the size, location, and number of angiomas, as well as individual preferences. It's crucial to consult a doctor or qualified healthcare professional to discuss the most appropriate treatment plan for your specific situation. Removal is typically for cosmetic reasons, as cherry angiomas are usually harmless.

Laser Treatment

How Laser Treatment Works

Laser treatment uses focused beams of light to target the blood vessels within the cherry angioma, causing them to coagulate and eventually disappear. The surrounding skin remains largely unaffected.

Types of Lasers Used

Pulsed dye lasers (PDL), such as the Vbeam laser, and KTP (potassium titanyl phosphate) lasers are commonly used for cherry angioma removal. PDL is often preferred for its precision and minimal side effects.

Recovery and Aftercare for Laser Treatment

The treated area may appear slightly bruised or swollen for a few days. Avoid sun exposure and follow your doctor's instructions regarding skincare and any prescribed ointments.

Cryotherapy

How Cryotherapy Works

Cryotherapy, also known as cryosurgery, involves freezing the cherry angioma with liquid nitrogen. This destroys the affected blood vessels, causing the angioma to fall off within a few days.

Recovery and Aftercare for Cryotherapy

A small blister may form at the treatment site, which will eventually scab over and heal. Avoid picking at the scab to minimize the risk of scarring.

Electrocautery

How Electrocautery Works

Electrocautery uses heat generated by an electric current to cauterize the cherry angioma. This destroys the blood vessels and causes the angioma to shrink and disappear.

Recovery and Aftercare for Electrocautery

A small scab will form at the treatment site, which will eventually fall off. Keep the area clean and dry to promote healing.

Shave Excision

How Shave Excision Works

Shave excision involves using a surgical blade to shave off the cherry angioma at the skin's surface. This method is typically used for larger or raised angiomas.

Recovery and Aftercare for Shave Excision

A small wound will be left behind, which will heal naturally. Stitches are usually not required. Keep the area clean and covered with a bandage until healed.

Treatment	Method	Appropriate For	Potential Side Effects
Laser Treatment	Targeted light beams coagulate blood vessels.	Small to medium-sized angiomas	Bruising, swelling, temporary discoloration
Cryotherapy	Freezing with liquid nitrogen.	Small angiomas	Blistering, temporary discoloration, potential for scarring
Electrocautery	Burning with electric current.	Small, raised angiomas	Scabbing, potential for scarring
Shave Excision	Surgical removal with a blade.	Larger, raised angiomas	Minor bleeding, scarring (minimal)

When to See a Doctor

While cherry angiomas are typically harmless, it's important to consult a doctor or healthcare professional under certain circumstances. This helps ensure accurate diagnosis and addresses any potential concerns.

Concerning Changes in Cherry Angiomas

Monitor your cherry angiomas for any changes. If you notice any of the following, schedule an appointment with a doctor:

Change	Description
Rapid Growth	A sudden increase in the size of the angioma.
Change in Shape	Becoming irregular, asymmetrical, or developing notched borders.
Change in Color	Darkening, becoming multicolored, or developing black areas.
Bleeding	Frequent or spontaneous bleeding, even with minor trauma.
Itching or Pain	Development of new itching, pain, or tenderness.
Inflammation	Swelling, redness, or warmth around the angioma.

Differential Diagnosis

Some skin conditions can resemble cherry angiomas. A doctor can differentiate between them and ensure appropriate treatment. Conditions that might be confused with cherry angiomas include:

• Spider angiomas

• Bleeding moles (melanoma)

• Skin tags

• Warts

• Dermatofibromas

Confirmation and Peace of Mind

Even if you're not experiencing any changes, seeing a doctor for confirmation can provide peace of mind, especially if you are concerned about the appearance of the angioma or its potential for malignancy. They can definitively diagnose the lesion and recommend the best course of action.

Cosmetic Concerns

If you're primarily bothered by the appearance of cherry angiomas, a doctor can discuss removal options and help you choose the most suitable method based on the size, location, and number of lesions.

Preventing Cherry Angiomas

While the exact cause of cherry angiomas isn't always known, and therefore prevention isn't always guaranteed, some strategies may help minimize their appearance or reduce the likelihood of developing new ones. Since some potential risk factors are unavoidable, like aging and genetics, focusing on modifiable factors is key.

Minimizing Sun Exposure

Protecting your skin from excessive sun exposure is crucial. UV radiation can damage the skin and potentially contribute to the development of cherry angiomas. Consider these precautions:

• Sunscreen: Apply a broad-spectrum sunscreen with an SPF of 30 or higher daily, even on cloudy days. Reapply every two hours, especially after swimming or sweating.

• Protective Clothing: Wear protective clothing, such as long-sleeved shirts, pants, and wide-brimmed hats, when spending time outdoors.

• Seek Shade: Limit sun exposure during peak hours (typically between 10 a.m. and 4 p.m.) by seeking shade whenever possible.

Maintaining a Healthy Lifestyle

While more research is needed to solidify the connection, some studies suggest a link between liver health and the appearance of cherry angiomas. Supporting overall health through a balanced lifestyle may be beneficial.

• Balanced Diet: Consume a diet rich in fruits, vegetables, and whole grains. These provide essential nutrients and antioxidants that support skin health.

• Hydration: Drink plenty of water to keep your skin hydrated and promote overall well-being.

• Limit Alcohol Consumption: Excessive alcohol intake can impact liver health, so moderation is recommended.

• Regular Exercise: Engage in regular physical activity to improve circulation and overall health.

Addressing Underlying Medical Conditions

Certain medical conditions like pregnancy and bromine exposure have been tentatively linked to an increase in cherry angiomas. Managing these conditions effectively, under the guidance of a healthcare professional, may influence their development.

Skin Care

Gentle skin care practices can help maintain skin health, although their direct impact on preventing cherry angiomas is not definitively established. Avoid harsh chemicals and excessive scrubbing, which can irritate the skin.

Factor	Preventive Measure
Sun Exposure	Sunscreen, protective clothing, seeking shade
Potential Liver Health Connection	Balanced diet, hydration, limiting alcohol
Underlying Medical Conditions	Consult with a healthcare professional for appropriate management
Skin Irritation	Gentle skin care practices, avoiding harsh chemicals

It is important to remember that these preventative measures may not completely eliminate the possibility of developing cherry angiomas, especially given the role of genetics and aging. Consulting a doctor is recommended for personalized advice and treatment options if you are concerned about cherry angiomas.

Summary

Cherry angiomas, also called Campbell de Morgan spots or senile angiomas, are common benign red skin growths that usually appear on the trunk, arms, and legs. They are generally harmless and often arise with age, influenced by genetics and possibly sun exposure. These growths typically do not cause symptoms unless irritated.

For cosmetic removal, several treatments exist: laser therapy (including Vbeam and other pulsed dye lasers), cryotherapy, electrocautery, and shave excision—each with varying recovery times and side effects.

While no guaranteed prevention exists, limiting sun exposure might help reduce new lesions. Consulting a doctor is important for accurate diagnosis and to choose the best treatment. Any sudden changes in an angioma’s size, color, or shape should be medically evaluated.