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Venous lake - Oral Mucosal Lesion
See also in: Overview
Other Resources UpToDate PubMed

Venous lake - Oral Mucosal Lesion

See also in: Overview
Contributors: Jeffrey M. Cohen MD, Susan Burgin MD, Carl Allen DDS, MSD, Sook-Bin Woo MS, DMD, MMSc
Other Resources UpToDate PubMed

Synopsis

A venous lake is a dilation of venules. It is common and benign. It is most often seen on the lips (especially the lower lip), ears, and face of older adults. Chronic sun exposure, which weakens the vascular adventitia and permits dilation of superficial venous structures, is thought to play a role in the formation of venous lakes. Venous lakes may also be seen on mucosal surfaces. Ninety-five percent of venous lakes occur in men.

Once a lesion has been traumatized, there may be bleeding or tenderness, but these lesions are most often asymptomatic. Venous lakes may be aesthetically displeasing, but they are benign.

Codes

ICD10CM:
D18.00 – Hemangioma unspecified site

SNOMEDCT:
402843003 – Venous lake

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Diagnostic Pearls

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Differential Diagnosis & Pitfalls

  • Melanoma
  • Pigmented basal cell carcinoma
  • Lobular capillary hemangioma (pyogenic granuloma)
  • Blue nevus
  • AIDS-associated Kaposi sarcoma
  • Oral melanotic macule
  • Atypical nevus
  • Spider angioma
  • Cherry hemangioma
  • Angiokeratoma circumscriptum

Best Tests

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Management Pearls

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Therapy

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References

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Last Reviewed:02/03/2021
Last Updated:02/07/2021
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Patient Information for Venous lake - Oral Mucosal Lesion
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Venous lake - Oral Mucosal Lesion
See also in: Overview
A medical illustration showing key findings of Venous lake : Ear, Face, Lips
Clinical image of Venous lake - imageId=916544. Click to open in gallery.  caption: 'A deep bluish-purple papule on the lower lip.'
A deep bluish-purple papule on the lower lip.
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