Also known as Campbell De Morgan spots, ruby spots, and senile angiomas; cherry angiomas are extremely common benign vascular neoplasms.

They are asymptomatic, easily diagnosed, cherry- to plum-colored papules that develop primarily on the trunk (Fig. 30.41).

The angiomas are found in fair-skinned adults older than 40 years of age.

Venous lakes (venous varices) are another common benign vascular neoplasm. They are generally macules or papules that are dark blue to purple and may be seen on the lower lip (Fig. 30.42), face, ears (Fig. 30.43), and eyelids.

The lesions usually occur in patients older than 60 years of age.

Angiokeratomas are most often found on the scrotum (Fig. 30.44) or vulva (Fig. 30.45), and they consist of multiple red-purple asymptomatic papules (“caviar spots”).

They are usually first noticed in young adulthood.

A spider angioma is a cluster of telangiectasias, or dilated capillaries, that radiate from a central arteriole (Fig. 30.46).

More commonly seen in women and may be associated with pregnancy or oral contraceptive use, spider angiomas are also seen in patients with hyperestrogenic conditions, such as chronic liver disease. They may also arise in healthy children.

Lesions appear as spoke-like capillaries radiating from a slightly raised central arteriole. Compression of the central arteriole completely blanches the lesions.

Spider angiomas most often occur on the face and trunk. Lesions are asymptomatic and are primarily of cosmetic concern.