Cherry Angiomas: When to Seek Further Skin Evaluation - Dermatology

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Cherry angiomas, also known as cherry hemangiomas, are benign growths of small blood vessels that appear as red or purple spots on the skin. They are quite common, especially in adults over the age of 30, and can vary in size from a pinpoint to several millimeters in diameter. While they are generally harmless and do not require treatment, their sudden appearance or changes in size or color can understandably cause concern.

In your case, the appearance of multiple cherry angiomas following the use of post-exposure prophylaxis (PEP) medication raises a few considerations. First, it is essential to understand that cherry angiomas are typically not associated with any systemic illness or medication side effects. They are often linked to genetic factors, aging, and sun exposure. The fact that your dermatologist has diagnosed these spots as cherry angiomas and deemed them benign is reassuring.

However, if you are experiencing new growths or changes in existing lesions, it is always prudent to seek further evaluation, especially if you have concerns about the nature of these spots. Here are some guidelines on when to seek further skin evaluation:
1. Changes in Appearance: If a cherry angioma changes in color, size, or shape, or if it becomes painful or itchy, it is advisable to have it evaluated by a dermatologist. This is particularly important if the lesion starts to bleed or develop a crust.

2. New Symptoms: If you notice any new symptoms associated with the spots, such as swelling, redness, or discharge, it may indicate an infection or other skin condition that requires attention.

3. Personal or Family History: If you have a personal or family history of skin cancer or other skin conditions, it is wise to be more vigilant and consult a dermatologist for any new or changing skin lesions.

4. Anxiety and Concerns: If you are feeling anxious about the appearance of these spots, it is entirely reasonable to seek a second opinion or further evaluation. Dermatologists can provide reassurance and, if necessary, perform a biopsy to rule out any serious conditions.

5. Other Skin Changes: If you notice other skin changes, such as new moles or spots elsewhere on your body, it may warrant a full skin examination.

In your situation, since the dermatologist has already evaluated the spots and determined they are cherry angiomas, it may be helpful to monitor them for any changes. If you continue to feel uneasy, consider scheduling a follow-up appointment with a dermatologist for peace of mind. They can provide a thorough examination and discuss any further diagnostic tests if necessary.

In summary, while cherry angiomas are typically benign and do not require treatment, it is essential to remain vigilant about any changes in your skin. If you have concerns, do not hesitate to seek further evaluation. Your health and peace of mind are paramount, and dermatologists are well-equipped to address any skin-related issues you may have.