Venous lake (phlebectasia)
Venous lake (phlebectasia) ICD-9 456.8
Are You Confident of the Diagnosis?
What you should be alert for in the history
Venous lakes occur most often in the elderly and are usually asymptomatic.
Characteristic findings on physical examination
Characteristically, venous lakes are small, dark-blue, soft lesions with slight elevations, which are mostly localized to the lips, ears and face (
Small venous lake on the lower lip. Presents as a small purple macule. (Courtesy of Bryan Anderson, MD)
Expected results of diagnostic studies
Histopathology results show dilated, dermal venules or several communicating dilated venules.
Nodular melanoma can be distinguished by the presence of induration, growth over time, and lack of lightening with pressure. Dermoscopy may be very helpful in the differentiation of these lesions.
Who is at Risk for Developing this Disease?
The elderly are the most often affected by the condition.
What is the Cause of the Disease?
The etiology is unknown. Given the facial distribution, there is a possible role for sun exposure.
Dilated, dermal venules with blood pooling.
Systemic Implications and Complications
Differential diagnosis includes nodular melanoma; careful monitoring for growth or changes is recommended.
Treatment is usually unnecessary. Electrosurgery, cryosurgery, sclerotherapy, pulsed-dye laser or infrared coagulation can bring about cosmetic improvements.
Optimal Therapeutic Approach for this Disease
Treatment is usually unnecessary and reassurance should be given to the patient and their family. Surgical and laser-based therapies are effective if treatment is desired.
Watchful waiting is the first line of patient management and reassurance of the patient is key. Surgical and laser-based therapies can be offered if treatment is desired.
Unusual Clinical Scenarios to Consider in Patient Management
Any increase in growth or the presence of symptoms should prompt concern for a neoplastic proliferation and biopsy for histopathologic examination.
What is the Evidence?
Baker, C, Kelly, R, Bolognia, JL, Jorizzo, JL, Rapini, RP. "Other Vascular Disorders". In Dermatology. Mosby-Elsevier. 2008. pp. 1615-1625.(An excellent textbook review of venous lakes and other vascular lesions.)
Copyright © 2017, 2012 Decision Support in Medicine, LLC. All rights reserved.
No sponsor or advertiser has participated in, approved or paid for the content provided by Decision Support in Medicine LLC. The Licensed Content is the property of and copyrighted by DSM.
Sign Up for Free e-newsletters
- Hodgkin Lymphoma Survivorship Marked by Periods of Actionable Distress
- Medication, Vaccination Uptake Improved by Involving Pharmacists in Elder Cancer Care
- Stem Cell Transplantation Superior to Chemotherapy for Relapsed/Refractory DLBCL, Follicular Lymphoma
- Dose-Escalation Mitigates Risk of Grade 3/4 Adverse Events With Ruxolitinib for Myelofibrosis
- Study Reveals Relationship of Sleep Duration, Diabetes Risk in Cancer Survivors
- Navigating Prostate Cancer: A Patient's Experience From Diagnosis to Survivor
- Cell Phones and Cancer Risk (Fact Sheet)
- How Likely Are Oncologists to Refer for Palliative Care? Depends on Their Age
- Use of Corticosteroids With PD-1 or PD-L1 Inhibitors Associated With Poorer Outcomes in NSCLC
- Chemoimmunotherapy Increases Survival in Triple-Negative Breast Cancer
- Risk for Colon Cancer, Osteogenic Sarcoma Higher With Presence of Diamond-Blackfan Anemia
- G-CSF Support Increases Overall Survival, But Risk of Secondary Malignancies Also Higher
- Report From Childhood Cancer Survivor Study Identifies Long-Term Risks for VTE
- The Effect of Intravenous Hydration Strategy on Plasma Methotrexate Clearance During Intravenous High-dose Methotrexate Administration in Pediatric Oncology Patients
- Outcomes Worse for Minimally Invasive Hysterectomy vs Open Surgery
Regimen and Drug Listings
GET FULL LISTINGS OF TREATMENT Regimens and Drug INFORMATION
|Head and Neck Cancer||Regimens||Drugs|