Telangiectasias

Figure 2.18 A: Angiokeratoma B: Spider angioma C: Spider angioma

• Common acquired lesion seen in children and adults
• Comprised of central arteriole with radiating thin walled vessels; temporary obliteration seen with compression
• Presents as bright red papule with central papule surrounded by distinct radiating vessels
• Multiple lesions associated with liver disease, pregnancy, and estrogen therapy

• Onset typically within first two decades of life
• Presents as small, red punctate asymptomatic macules in serpiginous pattern typically over extremity