Appear as a bright red papule with branching telangiectasias on the face or upper trunk of children.
In adults, spider angiomas can be associated with liver disease and high estrogen states such as pregnancy, but in children they are idiopathic and common occurring in up to 15% of normal children and young adults.
A spider angioma typically appears suddenly and is characterized by a central bright red vascular papule with symmetrically radiating thin telangiectasias (resembling the legs of a spider) (Fig. 8.14).
Most commonly on the face but can also appear on the exposed areas of the upper trunk, arms, or hands.