Cherry Angiomas
Symptoms
Cherry angiomas are small, bright red to purple spots or bumps that typically appear on the trunk, arms, and shoulders. They can be flat or slightly raised and usually range from 1–5 mm in diameter. These growths are painless and non-itchy but may bleed if scratched or injured. Some lesions darken or increase in size over time. Multiple angiomas may appear suddenly, especially with age. Most people first notice them after age 30. They are cosmetically harmless but can be concerning in appearance. Rarely, rapid onset of many angiomas may warrant further medical evaluation.
Cause
The exact cause of cherry angiomas is unknown, but they are linked to aging and genetics. They originate from overgrowth of small blood vessels (capillaries) in the skin. Hormonal changes, pregnancy, and exposure to certain chemicals may contribute. They are not related to sun exposure. A family history of cherry angiomas increases the likelihood of developing them. These lesions are not cancerous or infectious. Sudden onset of numerous angiomas can occasionally be linked to internal conditions, though this is rare.
Treatment
Cherry angiomas don’t require treatment unless they are bleeding, irritated, or removed for cosmetic reasons. Options for removal include electrosurgery (burning), laser therapy (typically pulsed dye or KTP lasers), or cryotherapy (freezing). These procedures are typically quick and performed in-office. Healing time is usually short, with minimal scarring if done correctly. Insurance generally not cover removal of these spots. Preventing trauma to the lesions can reduce bleeding risk. New angiomas may develop with age even after removal.
Dr. Beth Schulz-Butulis
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