Campbell de Morgan Spot - Synonyms: cherry haemangiomas, senile angiomas

Campbell de Morgan spots are flat or slightly elevated, red, circular angiokeratomas that occur on the abdomen or chest.

 

They are very common, especially in middle age. Unlike spider naevi, they do not blanch on pressure.

Epidemiology

 

  • Common lesion in adults over age 40
  • Incidence rises sharply after fourth decade.

Pathophysiology

  • Composed of dilated capillaries
  • Small early lesion:  Dilated interconnecting thin-walled vessels in the papillary dermis.

Causes

  • Most cases are idiopathic associated with aging
  • Chemical exposure
  • Mustard gas
  • 2-Butoxyethanol
  • Hormomal changes
  • Pregnancy
  • Increased Prolactin

Symptoms

  • Asymptomatic

Signs

  • They can be found at any skin site except the mucous membranes.
  • Lesions may be widespread, especially in elderly.
  • Characteristics
    • Benign soft, dome-shaped Papule
    • Small (< 6 mm diameter)
    • Bright red or violet colored lesions
    • Vascular and Blanches with pressure
    • Round Papule, cherry red color, <6mm diameter

Distribution

  • Trunk
  • Proximal extremities

Differential Diagnosis

  • Angiokeratoma
  • Venous lake
  • Pyogenic Granuloma
  • Nodular amelanotic Melanoma
  • Metastatic carcinoma (hypernephroma)

Management:

  • Cosmetic Radiosurgery Removal
  • Laser coagulation