Cherry Angiomas: When to Worry About Skin Spots - Dermatology

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Cherry angiomas, also known as cherry hemangiomas, are benign vascular lesions that commonly appear as small, red or purple spots on the skin. They are composed of small blood vessels and can vary in size, often becoming more numerous with age. While they are generally harmless and do not require treatment, it is important to understand their characteristics and when to seek medical advice.

In your case, you mentioned that you have developed several red spots on your arms, thighs, back, and chest. Some of these spots blanch (turn lighter) when pressed, while others do not. This is a common observation with cherry angiomas. When you press on a cherry angioma, it may temporarily lose its color due to the compression of the blood vessels, which is why some spots blanch and others do not. The lack of blanching in some lesions does not necessarily indicate a problem; it may simply reflect the nature of the blood vessels involved.

Cherry angiomas are typically asymptomatic, meaning they do not cause pain, itching, or discomfort. However, if you notice any changes in the appearance of these spots—such as rapid growth, changes in color, bleeding, or if they become painful—it's essential to consult a dermatologist. These changes could indicate a need for further evaluation to rule out other skin conditions, including skin cancers.

While cherry angiomas are benign, there are other skin lesions that may resemble them, such as seborrheic keratosis, dermatofibromas, or even more serious conditions like melanoma. Therefore, if you have any concerns about the spots on your skin, especially if they are new or changing, it is advisable to seek a professional opinion. A dermatologist can perform a thorough examination and, if necessary, a biopsy to ensure an accurate diagnosis.

In terms of treatment, cherry angiomas can be removed for cosmetic reasons or if they become irritated or bleed frequently. Common removal methods include laser therapy, electrosurgery, or cryotherapy. However, removal is not typically necessary unless the lesions are bothersome.

In summary, while cherry angiomas are usually harmless, it is crucial to monitor any skin changes. If you have concerns about the spots on your skin, especially regarding their appearance or behavior, do not hesitate to consult a dermatologist. They can provide you with a proper diagnosis and discuss any potential treatment options if necessary. Remember, taking care of your skin and being proactive about changes is an essential part of maintaining overall health.