What should you do?
A middle-aged man comes in because he has noticed multiple small, blood-red, raised lesions over his anterior chest and abdomen for the past several months. They are not painful and he has not noted any bleeding or bruising. He is concerned this may be consistent with a dangerous condition.
A) Reassure him that there is nothing to worry about.
B) Do laboratory work to check for platelet problems.
C) Obtain an extensive history regarding blood problems and bleeding disorders.
D) Do a skin biopsy in the office.
A) Reassure him that there is nothing to worry about.
These represent cherry angiomas, which are very common, benign lesions. Further workup such as laboratory work, skin biopsy, or even further questions are not necessary at this time. It would be wise to ask the patient to report any changes in any of his skin lesions, and tell him that you would need to see him at that time.
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