Alles Wat Je Moet Weten Over Cherry Angioma en Huidziekten

What Are Red Moles (Cherry Angiomas)?

Sarah Fielding is a freelance writer covering a range of topics with a focus on mental health and social issues.

Casey Gallagher, MD, is a dermatologist and clinical professor in the Department of Dermatology at the University of Colorado Denver.

Cherry angiomas, which may appear as red moles or bumps on the skin, are lesions of small blood vessels that have dilated, swelled, and broken. While cherry angiomas may look like red moles, they are not actually moles.

Risk factors for cherry angiomas include genetics and pregnancy. Cherry angiomas commonly appear in older adults, usually popping up after age 30. About 75% of people over 75 develop cherry angiomas. Only 7% and up to 41% of adolescents and people in their 20s have cherry angiomas.

Cherry angiomas are not a cause for worry. Still, some people may remove them for cosmetic reasons or if they bleed after an injury.

Read on to learn about cherry angiomas, including their symptoms, causes, and when to see a healthcare provider.

Behandeling van hemangiomen

Systemische corticosteroïden waren lange tijd de behandeling van eerste keus voor hemangiomen. Deze behandeling moest meestal langdurig worden volgehouden, was niet altijd effectief en gaf bovendien vaak bijwerkingen zoals hypertensie, groeiretardatie en osteoporose.16

Idealiter zal men een risicovol hemangioom zo vroeg mogelijk in de proliferatiefase willen behandelen, dus liever proactief dan reactief. Het kind moet daarvoor worden doorverwezen naar een expertisecentrum, waar een multidisciplinair team bekijkt of additioneel onderzoek dan wel een interventie nodig is. Is behandeling met een bètablokker geïndiceerd, dan wordt vooraf het risico op bijwerkingen beoordeeld. Is de behandeling eenmaal gestart, dan komt het kind in een follow-uptraject waarin het effect van de medicatie geëvalueerd wordt en eventuele bijwerkingen nauwlettend geregistreerd worden. In het begin vindt die controle elke twee weken plaats, later elke twee maanden. De dosering en de duur van de behandeling hangen af van het type hemangioom, de behandelindicatie en de leeftijd bij aanvang van de behandeling. Over het algemeen moet de behandeling doorgaan tot het hemangioom in de stabiele fase is gekomen, gemiddeld rond de leeftijd van 1 jaar. Bij eerder staken van de bètablokker treedt vaak rebound-groei op.

Hemangiomen: wanneer en hoe te behandelen

Totté JEE, Breugem CC, De Graaf M, Toonstra J, Raphaël MF, Breur-Raymakers GJLM, Speleman L, Breur JMPJ, Pasmans SGMA. When and how should haemangioma be treated? Huisarts Wet 2013,56(2):74-8.

Most haemangiomas of infancy have a favourable course. With a careful history and physical examination, the general practitioner not only can distinguish between a haemangioma and vascular malformations, but also assess the potentially increased risk of complications. Haemangiomas can be treated effectively with beta-blockers such as propranolol in specialized centres, and a proactive policy is essential to prevent later damage or even life-threatening situations. Early referral is increasingly important. This articles present guidelines on how to recognize potentially dangerous haemangiomas. The beneficial effect of beta-blockers has resulted in doctors in primary and secondary care being involved in the treatment and follow-up of patients with haemangiomas. ‘KinderHuidhuis’, the Dutch digital platform for specialists, general practitioners, care providers, and patients interested in infant skin problems provides expertise and coaching for doctors involved in the treatment of these patients.

Introduction

Cherry hemangiomas are common benign cutaneous vascular proliferations. They are also known as cherry angiomas, adult hemangiomas, or senile angiomas as their number tends to increase with age.[1] They were named Campbell De Morgan spots, after the name of a surgeon who worked at Middlesex hospital from 1842 to 1875.[2] According to the current classification by the International Society for Vascular Anomalies (ISSVA) for benign vascular tumors, cherry hemangiomas are not included although they have distinct clinical and histopathological features and are highly prevalent in adults.[1]

In the international literature, Campbell De Morgan spots have variously been known as senile angiomas, angioma eruption, angioma tuberosum, senile ectasia, angioma nodulare cutis, perles sanguines, ruby spots, and cancerodermes. Although De Morgan (1811 to 1876) associated these spots with the presence of cancer, this is not a common finding.