Differential Diagnosis for Cherry Angioma in a Child
- Single Most Likely Diagnosis
- Cherry angioma (also known as cherry hemangioma): This is the most likely diagnosis due to its common occurrence in children and characteristic appearance as a small, bright red, dome-shaped papule.
- Other Likely Diagnoses
- Pyogenic granuloma: A benign vascular lesion that can appear similar to a cherry angioma but tends to be more friable and prone to bleeding.
- Spider angioma: A benign vascular lesion with a central arteriole and radiating vessels, often seen in children.
- Hemangioma: A benign vascular tumor that can appear as a red, raised lesion, although it tends to be larger and more complex than a cherry angioma.
- Do Not Miss Diagnoses
- Kaposi's sarcoma: A rare, malignant vascular tumor that can appear as a red, purple, or brown lesion, although it is extremely uncommon in children.
- Bacillary angiomatosis: A rare, infectious disease caused by Bartonella species that can cause vascular lesions, often in immunocompromised individuals.
- Glucose-6-phosphate dehydrogenase (G6PD) deficiency with oxidative stress-induced hemolysis: Although not a primary skin lesion, G6PD deficiency can cause jaundice and pallor, and in rare cases, may be associated with vascular lesions.
- Rare Diagnoses
- Arteriovenous malformation: A rare, congenital vascular anomaly that can appear as a red, pulsatile lesion.
- Angiosarcoma: A rare, malignant vascular tumor that can appear as a red, purple, or brown lesion, although it is extremely uncommon in children.
- Tufted angioma: A rare, benign vascular tumor that can appear as a red, plaque-like lesion with a distinctive "tufted" appearance on histology.