Ruby points

Ruby points, also known as ruby angiomas, ruby spots or De Morgan's spots, are common and completely benign skin changes. They are formed from blood vessel cells. These small marks appear as tiny bumps with an intensely red, and sometimes even purple, color, usually ranging from 1 to several millimeters in diameter. Their characteristic ruby hue comes from the presence of hemoglobin in the dilated vessels.

Ruby angiomas are purely an aesthetic issue and pose no health risk. They are most commonly found on the trunk, arms, and thighs, where they can be mistaken for moles.

Ruby points are small skin changes that occur as a result of excessive growth of blood vessels, when endothelial cells multiply intensively, forming new capillaries. Genetic predispositions play a significant role in their development. Their number often increases with age, especially after the age of 30.

Hormonal fluctuations, such as those related to estrogen levels during pregnancy or after menopause, also contribute to their appearance. Other factors influencing their development include: excessive sun exposure, chronic stress, unhealthy diet, and contact with certain chemicals. It is worth noting that women with fair skin seem to be more susceptible to these changes.

Ruby spots, although usually harmless, can be a warning sign when they appear suddenly and in large numbers. Their presence often indicates liver problems such as cirrhosis, fatty liver, or inflammation. Sometimes they are even called "liver tears."

In rarer cases, the sudden appearance of these skin changes may be associated with more serious conditions, such as neuroendocrine tumors or POEMS syndrome. They can also accompany metabolic diseases, such as diabetes or hyperlipidemia, as well as thyroid diseases. Furthermore, their presence can be a sign of problems with the circulatory system.

Ruby moles are usually harmless. However, in certain situations, a visit to a dermatologist is necessary. Pay attention to the following symptoms:

• rapid development of the mole,
• change in shape or color,
• bleeding, either spontaneously or after irritation,
• burning sensation,
• itching,
• redness or swelling,
• inflammation.

The specialist will conduct diagnostics, often using a dermoscope, to differentiate a hemangioma from a dangerous melanoma. If in doubt, a biopsy may be recommended. Regular check-ups are necessary if you have many such moles or if their appearance causes concern.

Aesthetic medicine offers a range of effective and usually non-invasive methods to eliminate ruby points.

The most commonly chosen method is laser therapy, which uses precise laser energy to target blood vessels. This process, known as photothermolysis, causes the vessels to shrink or close, leaving the skin around them intact. Lasers such as Dye VL, Excel V+, as well as PDL and IPL technologies are used for laser therapy.

In addition to laser therapy, other effective techniques for eliminating ruby points are also available. Electrocoagulation involves using electricity to cauterize the vessel, while cryosurgery freezes the lesions using liquid nitrogen. Surgical excision of lesions is very rarely used, mainly for diagnostic purposes. It is also worth mentioning newer, increasingly popular methods for removing ruby points, such as microplasma beams.

Removing ruby points, although effective, has certain limitations. The procedure is not recommended for pregnant or breastfeeding women. It cannot be performed if there are:

• active skin infections (bacterial, viral, fungal),
• skin cancer,
• tendency to develop scars,
• recent sunburn (in the case of laser therapy).

Contraindication to the procedure also includes taking medications or herbs with photosensitizing effects. Always inform the doctor about all medications and supplements taken before removing any skin changes.

Although ruby nevi, especially with genetic predispositions, cannot be completely avoided, the risk of their occurrence can be effectively reduced. Key is sun protection throughout the year using sunscreen with UV filter (SPF 30-50). Equally important is a healthy lifestyle. Remember about:

• balanced diet rich in vitamins C and K, which strengthen blood vessels,

• proper hydration of the body,

• skin care,

• avoiding irritating substances,

• choosing hypoallergenic cosmetics.

If ruby nevi prove to be a symptom of a more serious condition, comprehensive treatment focusing on the therapy of the underlying disease is necessary.