Red moles or angiomas and hemangiomas – red spots on the body

Red moles or angiomas
Red moles or angiomas are benign skin growths characteristic of people over the age of 35. It is believed that only 7 percent of the population develops angiomas during adolescence and as much as 75% in older adulthood. That is why these changes are also called senile angiomas.

Agniomas – red spots on the body

It is not known why angiomas develop. However, what is known is that there may be a genetic predisposition. Eruptive (sudden) development of angiomas is caused by: Liver diseases Consequences of organ transplantation Lymphoproliferative disorders Human herpesvirus-8 Pregnancy Cytostatic therapies Angiomas are completely benign changes. At the very beginning they look like small flat red dots on the skin, 1mm in diameter. Over time, they can rise above the surface of the skin and look like a part of pea grains. When injured, they bleed heavily. They consist of a tangle of blood vessel and fibrous tissue in between. Sometimes they can look like melanoma without any pigment, so dermoscopy would be necessary and rarely pathochistological analysis to tell them apart. In places of injury, often fingertips, pyogenic granulomas may appear that look like angiomas but they bleed more easily and grow faster. Angiomas (red dots) can be removed differently depending on the size. Removal with radio waves is the most commonly used, always with local anesthesia. Curettage (shave) with electrocoagulation is used for the lesions that are 4 mm in diameter or bigger. ProYellow laser , Pulsed dye laser and CO2 laser are also very successful. In case of lager angiomas a whitish trace will remain after radiofrequency removal. Pulsed Dye Laser does not leave a scar but requires more treatments.


Hemangiomas are benign tumors that arise from a ball of tiny blood vessels in early childhood or at birth. It is believed that about 5% of newborns have a hemangioma, with a predominance of girls in a ratio of 5:1. Prematurely born children, as well as children who were in hypoxia in the stomach, have a higher probability of developing hemangiomas. Maternal age is also a significant factor. Dominance in inheritance in families has been observed, even if the gene that determines it has not yet been isolated. Hemangiomas on the skin can be superficial, intensely red, or deep when they have a dark purple color. A combination of both is perhaps the most common. When they appear, they go through three different phases:
  1. Rapid growth phase in the first 3 to 8 months of life
  2. Resting phase between 6 and 12 months of life
  3. The regression phase lasts for several years. The skin can return to its normal state, but much more often remains with accentuated capillaries, more superficial redness or altered skin structure.
The diagnosis is made by a doctor’s examination without special instruments. Sometimes it is necessary to perform an additional ultrasound examination as well as a magnetic resonance in order to determine the depth and spread of the hemangioma. Most inflammatory hemangiomas resolve completely within the first few years of life. Intralesional injection of corticosteroids or application of propranolol creams may be successful in controlling growth. Systemic administration of propranolol and corticosteroids is another option with monitoring for side effects. Pulsed two laser is the only laser that can completely remove hemangioma without creating scar tissue . Multiple treatments are required, and recovery from each treatment is about two weeks. Immediately after the treatment, the field is almost black. During this week it fades and leaves behind a field of reduced blood vessels. If the hemangioma is deeply placed, sclerosing guided by magnetic resonance is combined with pulsed two lasers.
Svetlana Đurišić specijalista dermatovenerologije

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