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Dermatology · Vascular disorders: spider naevus
Sample itemA pregnant woman develops a small red lesion on the cheek with a central punctum and radiating fine vessels that blanches when pressed centrally. What is it?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Spider naevus (naevus araneus)
Spider naevi have a central feeding arteriole with radiating telangiectasia and blanch with pressure, with release showing refilling from the centre. They are common in pregnancy and liver disease due to raised oestrogen. Pregnancy lesions often regress after delivery.
Option by option
A. Petechiae
Petechiae do not blanch.
B. Venous lake
Venous lakes are blue compressible papules on the lips and ears.
C. Cherry angioma
Cherry angiomas are discrete red papules without radiating vessels.
D. Spider naevus (naevus araneus) (correct)
Correct. A central arteriole with radiating vessels is a spider naevus.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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