Striae distensae sd, more commonly known as stretch marks, is a common and disfiguring dermatological condition in which the layer of dermis becomes scarred. Striae distensae or stretch marks, referred to as striae gravidarum sg when they occur in pregnancy, are a common skin problem and pose considerable cosmetic concern for many patients. To avoid adverse side effects, lower fluence should be used in patients with darker. Microneedlingtreatmentofstriaedistensaeinlightand dark. In an effort to achieve inconspicuous scars, plastic surgeons try to place their incisions in. Lasers and lights for the treatment of striae distensae. Marfan syndrome genetic and rare diseases information. A through search of the literature using the words striae distensae, striae rubra, striae alba and stretch marks was carried out in the pubmed. Stretch marks striae cutis distensae are a common disfiguring skin condition characterized by linear bands of atrophicappearing skin. Striae distensae or stretch marks, referred to as striae gravidarum sg when they occur in pregnancy, are a common skin problem of considerable cosmetic.
Striae distensae sd or stretch marks are linear dermal scars which are produced as a result of excessive stretching of the skin. The development of striae has been associated with pregnancy, growth spurts. Unexplained striae such as striae distensae or rubrae at the back, groins, thighs, breasts andor abdomen in adolescents, men or prepubertal women without a history of significant gain or loss of body fat or weight 4. Visual properties of striae distensae of chinese women. Treatment of striae distensae with variable square pulse. There is a larger pigmented scar involving the skin of the junction of the left foot and ankle ventrolaterally.
All structured data from the file and property namespaces is available under the creative commons cc0 license. Physiological striae atrophicae of adolescence with. Objective to describe the clinical results and side effects of microneedling in a series of 25 individuals with striae distensae. Enlargement of the different parts of the body imposes progressive stress and. Common locations for striae distensae are the abdomen, breasts, medial upper arms.
Sd initially present as raised edematous plaques striae rubra, after which they become white and atrophic striae alba owing to local breakdown and reorganization of collagen and elastin. In that case, the patient had received 14 u of intralesional bleomycin sulfate injected at different sites of recal. Striae distensae are most likely to respond to pharmacologic products and clinical interventions at their early stage striae rubra. The aim of this study was to evaluate how abdominal circumferential reduction achieved after using a noninvasive radiofrequency device btl vanquish, btl industries inc. Striae distensae sd are common dermatologic lesions that often arise as a result of rapid weight change, certain endocrine conditions, or prolonged exposure to steroids. New clinically proven medical product for prevention and. Indian dermatology online journal striae distensae. It manifests as linear dermal atrophic scars and can cause significant distress to the affected individuals. Striae distensae sd is a common disfiguring cutan eous condition characterized by smooth linear bands of apparently atrophic skin, which occur in areas of dermal damage caused by stretching 3,4. Topical management of striae distensae stretch marks.
Striae distensae are a common finding in adolescents of both sexes,811,812 particularly females, and in pregnancy striae gravidarum. Fs and clinical improvement was assessed by comparing pre and posttreatment clinical photographs and participant satisfaction rates. The direction of optimal skin incisions derived from striae distensae. Treatment of striae distensae with nonablative fractional laser versus ablative co 2 fractional laser. Over time they may diminish, but will not disappear completely. See genetics, clinical features, and diagnosis of marfan syndrome and related disorders. Dermatology british journal of medical practitioners. Although a variety of laser and light sources have been used for the treatment of striae distensae, to date no definite gold standard treatment modality has been determined. In 1935, parkes weber reported an unusual presentation of striae that he called idiopathic striae atrophicae of puberty. 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. Once they become white striae alba, only few treatment modalities exist and they are become quite difficult to treat.
Effective treatment of striae distensae using pneumatic injection of hyaluronic acid cassuto, daniel md, milan, italy introduction striae distensae, also known as stretch marks, are a form. There is no association between this type of striae distensae. Koebner phenomenon induced by striae distensae in a vitiligo patient ruixing yu, 1, 2 yun hui, 2 and chengrang li 2. Flagellate hyperpigmentation also has been reported following intralesional bleomycin sulfate for the treatment of verruca plantaris. Mohammad abid keen abstract striae distensae, commonly known as stretch marks, are benign skin lesions associated with considerable cosmetic morbidity.
Striae distensae sd are a frequent skin condition for which treatment remains a challenge. For each sd skin area was used from i to 4 ml of the product diluted with 3 percent carbo caine. Development of striae distensae a mechanochemical model. For instance, lesions are more likely to develop in the axillae and on the arms of weight lifters, whereas striae. Sodium lascorbate enhances elastic fibers deposition by fibroblasts from normal and pathologic human skin. Loeysdietz syndrome type 4 genetic and rare diseases. Although typically asymptomatic, striae distensae may be disfiguring and psychologically distressing to patients. Incidence and risk factors of striae distensae following breast. Sg occurs on the abdomen, breasts, buttocks, hips, and thighs and may develop after the 24th week of gestation.
Striae occur in over 70% of pregnant women and tend to. Pdf therapeutic targets in the management of striae. Striae distensae sd, otherwise known as stretchmarks, are a common presenting complaint, particularly in young healthy women. Mar 07, 2017 striae distensae are most likely to respond to pharmacologic products and clinical interventions at their early stage striae rubra. The location depends in part on the circumstance under which they developed. Longterm followup on patients treated for abdominal fat. Files are available under licenses specified on their description page. Transient pih is a common side effect found in patients with darker skin tone, even in nonsun exposure areas, and in some patients lasts as long as 6 months.
Ariya sarikaputi3 abstract striae distensae caused by stretching of the. Introduction striae distensae or stretch marks represent a common skin condition that does not induce any significant. Department of dermatology, isfahan university of medical sciences, skin and stem cell research center, tehran university of medical sciences, tehran. Striae distensae, or stretch marks, are linear scars in the dermis which arise from rapid stretching of the skin over weakened connective tissue.
Despite considerable investigations into their origins, the pathogenesis of striae distensae. Striae distensae, a common skin condition, do not cause any significant medical problem. The study reported improvement in white stretch marks at a higher energy of 100 jcm2 and red stretch marks with a lower intensity of 75 jcm2. Ten patients of varying skin types iv having striae distensae.
Use of low level laser therapy in striae distensae. Striae are also common after prolonged use of topical or systemic corticosteroids. H o r m o n a l f a c t o r s the common occurrence of striae distensae. Association between severities of striae gravidarum and. A randomized clinical trial was conducted with 20 women equally divided into a control. Common locations for striae distensae are the abdomen, breasts, medial upper arms, hips, lower back, buttocks, and thighs. Efficacy of intense pulsed light in treatment of striae. Jan 26, 2017 marfan syndrome is a disorder of the connective tissue. Background striae distensae have notoriously been dif. Laser stretch mark removal how it works, effectiveness, and. Biweekly inoffice injectable treatment of striae distensae vs a ongterm daily use of topica vitamin e lnjection methodology active a was injected by using a jinear threa ding puncture technique with a 30gauge need le.
Synonyms include the terms striae, stretch marks, and striae atrophicans. Striae gravidarum are striae distensae occurring secondary to pregnancy. Striae rubra are the earliest presentation of striae distensae and are characterized by an erythematous to violaceous color picture 1ac. Pdf striae distansae sd or stretch marks are very common, asymptomatic, skin condition frequently seen among females between 5 to 50. They affect skin that has been subjected to continuous stretching and are the result of both the ability of the skin to stretch and the amount of stretch applied thomas 2004. Pdf striae distensae sd are common dermal lesions, with significant physical and psychological impact. 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. 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. The purpose of this study was to demonstrate that selected commercial topical agents can improve the appearance of striae alba. Idiopathic striae atrophicae of puberty pubmed central pmc. Sep 29, 2017 stretch marks, or striae distensae, are long scars with underlying thinning of the skin, which is known as epidermal atrophy levine 2003.
Striae distensae are linear atrophic skin lesions, well defined and secondary to. Striae distensae alba is a relatively common skin disorder. However, the main purpose of the breast lift is to improve the shape of the breast, not to remove stretch marks. Removal of the stretch marks is just a positive side effect. Striae distensae start out as reddish lesions, called striae rubra, which become white striae alba as they age. Do any topical agents help prevent or reduce stretch marks. Pdf topical management of striae distensae stretch marks. We want to present unusually large striae that developed nearly all the body of a 14yearold patient during steroid therapy. Pdf striae distensae stretch marks and different modalities of. Patients should be advised to seek treatment when stretch marks are still red or purple because the lesions are most likely to respond to athome products and in. There is a small pigmented scar of the ventromedial right mid lower leg. Various topical and procedural modalities have been employed for the treatment of striae distensae. The direction of optimal skin incisions derived from. A rare complication resulting from overinflation of the tissue expander.
Koebner phenomenon induced by striae distensae in a vitiligo. Click on the link to view a sample search on this topic. Striae distensae stretch marks and different modalities. Fs for the treatment of striae distensae, 27 women with striae distensae were treated in a single session with a co. In the early stages the stretch mark appears slightly raised with a pink to red colour, which over time develops a slight purple tinge and then eventually becomes white and depressed with finely wrinkled lines.
This website is maintained by the national library of medicine. We report a case of skin necrosis that was exclusively localized on steroidinduced striae distensae. This page was last edited on 28 january 2019, at 08. Several cutaneous adverse effects have been described with the use of vascular endothelial growth factor inhibitors. It is a common skin condition that rarely causes any significant medical problems but is often a significant source of distress to those affected. Boswellic acid based cream is effecfive and well tolerated treatment far striae distensae riassunto causa.
Department of dermatology, isfahan university of medical sciences, skin and stem cell research center, tehran university of medical. If the lesions are untreated, they become white striae alba and the texture of the lesion may change from swollen to flattened or moderately depressed. For the prevention and treatment of stretch marks zur. Striae distensae, commonly known as stretch marks, are benign skin lesions associated with considerable cosmetic morbidity. Treatment of striae distensae with nonablative fractional. The patients face lacking cushingoid appearance a 20 year old male presented with pyrexia 100 of102 fand cough for 5 days duration with multiple striae present all over the body. A number of treatments have been proposed, but they usually have unsatisfactory result especially in striae alba. They occur frequently during adolescence or pregnancy when there is rapid tissue expansion, but may also occur in severe weight loss and in corti costeroid excess. Striae are linear lesions that are most often found on breasts, abdomen, hips, and thighs. Department of dermatology, kangbuk samsung hospital, sungkyunkwan university school of medicine, seoul, korea. Stretch marks, also known as striae, are a form of scarring on the skin with an offcolor hue. Materials and methods twentyfive consecutive adults spt iv with striae distensae. Striae rubrae striae albae9 reticular dermis normal skin epidermis papillary dermis elastin collagen new clinically proven medical product for prevention and treatment of striae distensae striae distensae, or stretch marks, are common linear atrophic scars that have several different classifications. Striae gravidarum as a predictor of spontaneous preterm.
Pregnancy stretch marks, also known as striae gravidarum, is a specific form of scarring of the skin of the abdominal area due to rapid expansion of the. Request pdf laser and light treatments for striae distensae. A high proportion of teenage girls and pregnant women are beset with striae distensae. Striae distensae or stretch marks are cutaneous changes which may appear everywhere on the body, except for the face, and they usually occur in stretching areas.
Fractional co laser as an effective modality in treatment. Striae distensae are a common form of dermal scarring that appear on the skin as erythematous, violaceous, or hypopigmented linear striations. Sd is caused by progressive stretching of the skin connective tissue due to changes in the. The 1540nm nonablative fractional laser star lux 500 has been shown to improve atrophic scars by increasing the amount of dermal collagen. Yag lasers in two different intensities for striae alba white stretch marks and striae rubra red stretch marks. Treatment of striae distensae with nonablative fractional laser vs ablative co2 fractional laser vol. In the initial phase striae rubra, they are erythematous, raised.
Striae cream with regenetrol complextm demonstrates. Mar 01, 2020 genetics home reference ghr contains information on loeysdietz syndrome type 4. Striae distensae are a common finding in marfan syndrome. Stretch marks, also known as striae, are a form of scarring on the skin with an off color hue. Striae distensae, otherwise known as stretch marks, are common skin lesions found in a variety of clinical settings. Pubmed is a searchable database of medical literature and lists journal articles that discuss loeysdietz syndrome type 4. Dermatologists now have a number of options to tackle this cosmetically stressful.
Striae distensae surgical and cosmetic dermatology. The unusually large striae distensae all over the body. Striae distensae are atrophic dermal scars with overlying epidermal atrophy causing significant cosmetic concern. How to get rid of striae distensae important must see now. To analyze the effects of lowlevel laser therapy 660nm in the treatment of striae alba. They occur frequently during adolescence or pregnancy when there is rapid tissue. Therapeutic targets in the management of striae distensae. Striae distensae sd or stretch marks are common dermal lesions which arise due to the stretching of the. Review article incentive program winners striae distensae stretch marks and different modalities of therapy.
You can click on the link to view this information page. Connective tissue provides strength and flexibility to structures throughout the body such as bones, ligaments, muscles, walls of blood vessels, and heart valves. Fractionated co2 laser in the treatment of striae alba in. It is called as striae gravidarum when it occurs secondary to a pregnancy. Microneedling treatment of striae distensae in light and. Efficacy of intense pulsed light in treatment of striae distensae in thai dr. Common dermatoses david kasper, do, mba abingtonjefferson hospital. There are two main types of striae distensae, striae rubra and striae. Over time, striae rubra evolve into striae alba, which appear hypopigmented, atrophic, and scarlike picture 2ab. Mar 19, 2014 striae distensae are depressed traces or bands of thin reddened skin, which later emerge as white, smooth, vibrant, and depressed, taking place in response to changes in weight or muscle mass and. Risk factors for the development of striae gravidarum american. Multiple purplish striae present at back and arms fig.
Distended striae distensae in a patient with nephrotic. Striae distensae, stretch marks, emollient, carbocysteine, sweet almond oil 1. Striae distensae sd or stretch marks are common dermal lesions which arise due to the stretching of the dermis. Fractional co laser as an effective modality in treatment of. Despite considerable investigations into their origins, the pathogenesis of striae distensae remains unknown. The safety and efficacy of the 1540nm nonablative fractional. Johns hopkins has information on loeysdietz syndrome on their web site. Striae distensae is a condition characterized by scarring of the dermis seen as violaceous, erythematous or hypopigmented linear striations on the skin. In recent years, microneedling has been proven useful in the treatment.
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