What is the treatment for an irritated cherry hemangioma (cherry angioma)?

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From the Research

To treat an irritated cherry angioma, the most effective treatment is laser therapy, specifically with the pulsed dye laser (PDL), as it has been shown to be effective with decreased procedure-related pain 1. When considering treatment options, it's essential to prioritize methods that minimize complications and promote healing.

  • Avoid scratching or picking at the angioma, as this can cause further irritation or bleeding.
  • Keep the area clean by gently washing with mild soap and water, then pat dry.
  • Apply a thin layer of petroleum jelly or antibiotic ointment like Neosporin to protect the area and promote healing.
  • Cover with a bandage if the angioma is in an area prone to friction from clothing.
  • If the angioma is bleeding, apply gentle pressure with a clean cloth for 5-10 minutes until bleeding stops.
  • Cold compresses can help reduce swelling and discomfort; apply for 10-15 minutes several times daily. Other treatment modalities, such as sclerotherapy 2, cryo-curettage 3, and electrosurgery 4, may also be effective, but laser therapy is generally preferred due to its efficacy and cosmetic results. It's crucial to seek medical attention if you notice signs of infection (increasing redness, warmth, swelling, pus, or fever), if bleeding doesn't stop with pressure, or if the angioma changes in size, shape, or color, as these may indicate a more serious condition requiring prompt medical attention 1.

References

Research

Treatment Modalities for Cherry Angiomas: A Systematic Review.

Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.], 2020

Research

Is sclerotherapy useful for cherry angiomas?

Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.], 2014

Research

Cryo-curettage of cherry angiomas.

The Journal of dermatologic surgery and oncology, 1983

Research

Electrosurgery for the skin.

American family physician, 2002

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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