By Gary M. White, MD

Angiokeratomas are dilated capillaries that appear as small dark red to purple raised papules. Angiokeratoma of Mibelli is a group of angiokeratomas usually on the dorsal fingers and toes.


Coalescent angiokeratomas on the dorsa of the foot, toes, or fingers is characteristic. Occasionally the knees may be involved. They may become hyperkeratotic or verrucous over time. The hands and feet may be cold and even cyanotic.


No treatment is needed. However, electrocautery or laser therapy may be performed.


J Am Acad Dermatol 2001;45:764-6


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