Striae occur in over 70% of pregnant women and tend to develop after 25 weeks of gestation. For instance, lesions are more likely to develop in the axillae and on the arms of weight lifters, whereas striae gravidarum are more likely to appear on the abdomen and breast. Striae gravidarum in primiparae atwal 2006 british. Striae are common linear, red to violaceous atrophic lesions, also known as striae cutis distensae or striae atrophicae. Striae are most commonly the result of changes in skin tension secondary to rapid. Demographic characteristics of teenage boys with horizontal. Stratamark is a registered medical device with proven clinical evidence. Striae distensae are linear depressions in the skin that appear perpendicular to areas of increased skin tension. Although they rarely cause significant medical concern, they can be a source of extreme physiological stress to affected patients. Striae distensae prophylaxis and treatment cream pdf, 180 striae distensae prophylaxis and treatment serum pdf, 210 toning leg cream pdf, 180 folic acid pdf, 180 omegamama pdf, 180 pregnadent tooth paste for pregnant women pdf, 180 intimate hygiene mousse pdf, 180 moist tissue for intimate hygiene. Striae distensae sd, otherwise known as stretchmarks, are a common presenting complaint, particularly. Thirtyfour percent of their patients with a diagnosis of overlap connectivetissue disorder had striae.
Idiopathic striae atrophicae of puberty pubmed central pmc. Incidence and risk factors of striae distensae following breast. They underwent 3 sessions of carboxytherapy at one. Ep0415458a2 use of retinoids for preventing and reducing. Striae distensae are a common finding in adolescents of both. Objectives to observe the prevalence of striae gravidarum in primiparae and identify independent associated risk factors. The microscopic features reveal a combination of findings showing epidermal atrophy and dermal scar formation.
Us5444091a method of applying alpha hydroxy acids for. Additionally, discomfort and side effects associated with the treatment were assessed. Us5759555a cosmetic formulation and method for amelioration. Drs glesby and pyeritz1 include striae as one of the 18 signs of a possible systemic connectivetissue disorder. Striae distensae during adolescence is relatively common and is a physiological occurrence associated with pubertal growth, most commonly occurring in the gluteal region, breasts, thighs, lower abdomen and back. Striae distensae is a topic covered in the 5minute clinical consult. This is a temporary file and hence do not link it from a website, instead link the url of this page if you wish to link the pdf file. Pdf striae distensae stretch marks and different modalities of. Striae distensae, also termed stretch marks, are linear atrophic dermal scars covered with flat atrophic epidermis. Our results indicate that horizontal striae distensae of the lower back in adolescent boys is associated with a rapid growth spurt, tall stature, and family history of striae distensae. Striae distensae occur in association with a number of conditions such as obesity, pregnancy striae gravidarum, prolonged use of systemic or topical corticosteroids, excessive use of marijuana, cushing syndrome, and marfan syndrome. Indian dermatology online journal striae distensae. David weedon ao md frcpa fcaphon, in weedons skin pathology third edition, 2010.
Striae distensae may be a common but underreported. Cutaneous adverse reactions are usually maculopapular exanthemas, although hypersensitivity syndrome, acute generalized exanthematous pustulosis, and stevensjohnson syndrome have also been reported 1. Striae distensae sd are common dermal lesions, with significant physical and psychological impact. Fractional co2 laser versus intense pulsed light in. Treatment of striae distensae with nonablative fractional. Compounding the problem is the fact that there is a paucity of research in this area.
Striae distensae stretch marks and different modalities. Striae are also common after prolonged use of topical or systemic corticosteroids. Striae distensae not only occur in pregnancy and obesity but are also common skin lesions during adolescence, which should be included in the differential diagnostics when making a. Clinical features and risk factors for striae distensae in. Striae distensae striaeatrophicans, striae gravidarum. We report a yearold boy with multiple purplish, atrophic, horizontal linear striae in the thoracic area. They occur commonly in pregnancy, puberty and obesity, but also become manifest following various medical conditions and therapeutic. We report the case of a patient with a maculopapular rash triggered by clindamycin who developed cutaneous lesions on striae distensae sd. Us5928659a cosmetic formulation and method for amelioration.
Striae gravidarum an overview sciencedirect topics. The aim of the study was to evaluate the effectiveness of carboxytherapy in the treatment of striae distensae. Striae distensae, commonly known as stretch marks, are benign skin lesions associated with considerable cosmetic morbidity. Currently, there is no treatment which consistently improves the appearance of striae. In an openlabel, multicenter, prospective study, 20 women applied tretinoin retinoic acid cream 0. Proposed aetiological mechanisms relate to hormones, physical stretch and structural alterations to. Although a variety of laser and light sources have been used for the treatment of striae distensae, to date no definite gold. The location depends in part on the circumstance under which they developed. The etiology of striae distensae stretch marks is unknown at this time.
Fortyeight pairs of sa from six patients were selected. Materials and methods twentyfive consecutive adults spt iv with striae distensae involving the trunk and. Many therapeutic modalities are available but none can completely eradicate sd. Striae distensae sd, more commonly known as stretch marks, is a common and disfiguring dermatological condition in which the layer of dermis becomes scarred. Uptodate knowledge of the scientific research and the evidence behind both preventative and therapeutic agents are vital in order to understand striae and to offer patients the best therapeutic alternatives. Pdf therapeutic targets in the management of striae.
We report a case of skin necrosis that was exclusively localized on steroidinduced striae distensae in a patient treated with bevacizumab and irinotecan. Striae distensae are caused by many physiological conditions such as adolescent growth spurts and pregnancy. Stratamark is a novel formulation, specially designed for the prevention and treatment of stretch marks striae distensae. Striae distensae are a common finding in adolescents of both sexes,811,812 particularly females, and in pregnancy striae gravidarum. The effect of a topicallyapplied cosmetic oil formulation on. Stretch marks form during rapid growth of the body, such as during puberty or pregnancy. His past health was unremarkable, and he took no medications. Stretch marks, also known as striae, are a form of scarring on the skin with an offcolor hue.
Review article incentive program winners striae distensae stretch marks and different modalities of therapy. Results striae distensae were present in 1 subjects 83. They are so common as to be considered physiologic during adolescence. Physiological striae atrophicae of adolescence with. Background striae distensae are widely known to occur in pregnancy and aesthetically they can be a cause of great concern for many women. Stretch marks striae cutis distensae are a common disfiguring skin condition characterized by linear bands of atrophicappearing skin. Striae distensae not only occur in pregnancy and obesity but are also common skin lesions during adolescence, which should be included in the differential diagnostics when making a forensic assessment of stripelike skin alterations. Striae distensae stretch marks and different modalities of. To view the entire topic, please sign in or purchase a subscription. He reported a growth spurt in the preceding 12 months.
Ulceration of abdominal striae distensae stretch marks in a. A rare complication resulting from overinflation of the tissue expander. Striae distensae and localized atrophy, macular atrophy, and pseudoainhum of the penis are concisely selected in this chapter. Striae distensae sd commonly known as stretch marks are visible linear scars which develop in areas of dermal damage as a result of excessive stretching of the skin. Heralding their onset is the appearance of parallel in. However, pinkus et al2 found no significant difference in. Ep0415458b1 use of retinoids for preventing and reducing. Over time they may diminish, but will not disappear completely. In 1935, parkes weber reported an unusual presentation of striae that he called idiopathic striae atrophicae of puberty. Commonly several centimeters in length and between 1 to 10 mm wide, striae s long axes are perpendicular to the direction of skin tension lines. A method is provided to treat striae distensae lesions by topically applying to the skin affected with said lesions an effective amount of a treatment composition containing glycolic acid, preferably by daily application in a pharmaceutically acceptable vehicle, as a cream base, at a concentration of from 15 to 20 percent by weight. A questionnaire and physical examination were employed to assess the subjects past and family history, and the distribution, clinical features and severity of striae distensae. His medical history was significant for world health organization stage iv glioblastoma multiforme gbm treated with a regimen of etoposide and bevacizumab, as well as dexamethasone, 4 mg, twice daily to decrease cerebral edema.
Striae distensae sd represent dermal lesions with multifactorial. Striae distensae are atrophic dermal scars with overlying epidermal atrophy causing significant cosmetic concern. Striae distensae are a common finding in adolescents of both sexes, 811,812 particularly females, and in pregnancy striae gravidarum. Apr 11, 2012 striae distensae is a commonly described complication of steroid use. Pdf topical management of striae distensae stretch. Sd are hypothesized to form in a patient when the crosslinked collagen is overstretched and rupture of this collagen matrix causes the striae. Topical management of striae distensae stretch marks. Striae develop in a variety of circumstances, some of which involve a physical stretching of the skin, such as large weight gain or. Striae distensae, a common skin condition, do not cause any significant medical problem. Striae distensae or stretch marks, referred to as striae gravidarum sg when. Pdf management of stretch marks with a focus on striae rubrae. To our knowledge, physiological striae atrophicae of adolescence where idiopathic striae were restricted to the upper back have rarely been reported. They represent linear dermal scars accompanied by epidermal atrophy. Full text improvement of skin condition in striae distensae.
Despite considerable investigations into their origins, the pathogenesis of striae distensae remains unknown. Striae distensae sd, otherwise known as stretchmarks, are a common presenting complaint, particularly in young healthy women. Striae distensae are a common skin condition that rarely causes some significant medical problems but are often a significant source of distress to those affected. Topical tretinoin in the treatment of striae distensae and in. A teenager with lumbar striae distensae when a bruise is. White or silver sd was considered old and was not accounted for by this study. Risk factors for the development of striae gravidarum american. Microneedling treatment of striae distensae in light and. In patients presenting with striae distensae due to pubertal growth spurt, increase in weight, pregnancy, andor corticosteriod abuse, no further workup is required. Striae and systemic abnormalities of connective tissue jama. Striae are linear lesions that are most often found on breasts, abdomen, hips, and thighs. Striae distensae sd or stretch marks are common dermal lesions which arise due to the stretching of the dermis. Pdf topical management of striae distensae stretch marks.
Several cutaneous adverse effects have been described with the use of vascular endothelial growth factor inhibitors. A teenager with lumbar striae distensae when a bruise is not. Striae distensae are a common finding in adolescents of both sexes,811,812 particularly females, and in. Topical management of striae distensae stretch marks prevention and therapy of striae rubrae. The prevalence of striae is high up to 80% in most populations. In summary, this work demonstrated that the primos device can measure and document striae distensae type and maturation. Striae distensae are a frequent skin condition associated with pregnancy, weight change or lack of skin elasticity. The most common therapy is the application of topicals used both therapeutically and prophylactically. Therapeutic targets in the management of striae distensae. However, high dose steroid use complicated by mechanical stress due to rapid increase in body size because of accumulation of edema fluid led to formation of unusually large edematous striae distensae in our patient. Perhaps less well known are the effects, dependent upon the ability of tretinoin to influence the fibroblast, on dermal tissue alterations. Flowchart for management of striae distensae pretreatment workup. Stratamark was developed for treatment and prevention of all types of stretch marks, particularly those covering a wide surface area, resulting from pregnancy, adolescent growth spurts, weight gain.
Pdf ulceration of abdominal striae distensae stretch. A consistent treatment has not been proposed for treatment of striae alba sa. There is no association between this type of striae distensae and any chronic medical condition, bacterial infection, or exogenous steroid use. Even though there are many commercially available topical products, not all have sufficient level of evidence to. Background striae distensae are widely known to occur in pregnancy and aesthetically they can be a cause of great concern for many. The evolution of striae is characterised by at least two phases. They are twice as common in females and are reported in the age group of 550 years. Various factors have been reported to be associated with the development of striae but the results are conflicting. Sep 27, 2017 the skin lesions were diagnosed as stretch marks, socalled striae distensae. Stretch marks or striae distensae are tears in the dermis, above which the epidermis remains intact. Efficacy was evaluated by analysis of one preselected target lesion, which was rated on a sixpoint scale. Cutometric assessment of elasticity of skin with striae. Nov 21, 2017 our results indicate that horizontal striae distensae of the lower back in adolescent boys is associated with a rapid growth spurt, tall stature, and family history of striae distensae.
On examination, we found 35 ulcerations that were all localized on striae distensae. The unusually large striae distensae all over the body. Striae distensae sd, otherwise known as stretchmarks, are a. Striae distensae lesions may be prevented andor reduced in size by topically applying to the skin affected with the lesions an effective amount of a retinoid, preferably retinoic acid, preferably by daily application in a dermatologically acceptable vehicle, such as a cream base, at a concentration of about 0. Ulceration of abdominal striae distensae stretch marks in a cancer patient article pdf available in archives of dermatology 1483. Objective to describe the clinical results and side effects of microneedling in a series of 25 individuals with striae distensae. Mar 07, 2017 striae distensae, a common skin condition, do not cause any significant medical problem. Pdf striae distansae sd or stretch marks are very common, asymptomatic, skin condition frequently seen among females. Striae distensae occur in pregnancy, puberty and obesity as well as in numerous medical conditions and following therapeutic interventions. Cosmetic formulation and method for amelioration of skin keratoses and striae distensae download pdf info publication number us5928659a.
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