A 36-year-old woman notes the insidious onset of an asymptomatic lesion located on the scalp. Despite frequently hitting it with a comb or brush, it has never bled.
A 36-year-old woman notes the insidious onset of an asymptomatic lesion located on the scalp. Despite frequently hitting it with a comb or brush, it has never bled. The patient is ostensibly in good health.
Key point: This smooth surfaced, red-purple 4-mm papule appears to clearly be vascular in nature. The lack of friability makes the diagnosis of pyogenic granuloma unlikely. While some cutaneous metastases are typically vascular-appearing, especially renal cell carcinoma, the patient is too young for that diagnosis to be highly considered. Simple removal is indicated, but histological examination remains mandatory.
Treatment: A shave excision was done, followed by light electrocautery to the base. Pathology revealed a benign angioma.
Note: Excision would have been more difficult and possibly led to some degree of postoperative alopecia. Thus, a more conservative method was used to remove the lesion.
Atopic Dermatitis: The Pipeline and Clinical Approaches That Could Transform the Standard of Care
September 24th 2025Patient Care tapped the rich trove of research and expert perspectives from the Revolutionizing Atopic Dermatitis 2025 conference to create a snapshot of the AD care of the future.