Dr Ben Esdaile
Consultant Dermatologist
MBBS (Hons) BSc MRCP
Haemangiomas
These vascular lesions are benign proliferations of blood vessels. Dermoscopically they show round lacunes (or lakes) of homogenous red/blue pigment.
Vascular skin lesions​
Blue/red lacunae of a haemangioma
Classical red lacunae of a cherry angioma
Angiokeratomas
Solitary angiokeratomas are acquired vascular lesions. They often present with dark lacunae often with a white veil and scale.
Pyogenic granulomas
These lesions often appear on the fingers after trauma or other stimuli (including drugs). These rapidly growing vascular proliferations have some common dermoscopic features. These include a pinky/white homogenous area surrounded by a white collarette of scale (collar).
A pyogenic granuloma showing a pinky/red homogenous area with surrounding collarette.