Despite considerable investigations into their origins, the pathogenesis of striae distensae remains unknown. Striae distensae sd are a frequent skin condition for which treatment remains a challenge. Treatment of striae distensae with nonablative fractional laser vs ablative co2 fractional laser vol. Jan 26, 2017 marfan syndrome is a disorder of the connective tissue. Distended striae distensae in a patient with nephrotic. Despite considerable investigations into their origins, the pathogenesis of striae distensae. Koebner phenomenon induced by striae distensae in a vitiligo. Fs and clinical improvement was assessed by comparing pre and posttreatment clinical photographs and participant satisfaction rates. Background striae distensae have notoriously been dif.
Microneedling treatment of striae distensae in light and. 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. Laser stretch mark removal how it works, effectiveness, and. Incidence and risk factors of striae distensae following breast. Striae distensae is a condition characterized by scarring of the dermis seen as violaceous, erythematous or hypopigmented linear striations on the skin. Synonyms include the terms striae, stretch marks, and striae atrophicans. Fractional co laser as an effective modality in treatment. See genetics, clinical features, and diagnosis of marfan syndrome and related disorders.
Striae distensae, otherwise known as stretch marks, are common skin lesions found in a variety of clinical settings. Striae distensae are a common finding in adolescents of both sexes,811,812 particularly females, and in pregnancy striae gravidarum. Request pdf laser and light treatments for striae distensae. It manifests as linear dermal atrophic scars and can cause significant distress to the affected individuals. 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 distensae are linear atrophic skin lesions, well defined and secondary to. Striae cream with regenetrol complextm demonstrates. New clinically proven medical product for prevention and. Pdf striae distensae stretch marks and different modalities of. The 1540nm nonablative fractional laser star lux 500 has been shown to improve atrophic scars by increasing the amount of dermal collagen. Treatment of striae distensae with nonablative fractional.
Yag lasers in two different intensities for striae alba white stretch marks and striae rubra red stretch marks. Striae occur in over 70% of pregnant women and tend to. The unusually large striae distensae all over the body. Microneedlingtreatmentofstriaedistensaeinlightand dark. Common dermatoses david kasper, do, mba abingtonjefferson hospital. Department of dermatology, isfahan university of medical sciences, skin and stem cell research center, tehran university of medical. You can click on the link to view this information page. There is no association between this type of striae distensae.
It is a common skin condition that rarely causes any significant medical problems but is often a significant source of distress to those affected. 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. Idiopathic striae atrophicae of puberty pubmed central pmc. Visual properties of striae distensae of chinese women.
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. 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. A through search of the literature using the words striae distensae, striae rubra, striae alba and stretch marks was carried out in the pubmed. Sd is caused by progressive stretching of the skin connective tissue due to changes in the. Striae distensae surgical and cosmetic dermatology.
Striae distensae sd, otherwise known as stretchmarks, are a common presenting complaint, particularly in young healthy women. Marfan syndrome genetic and rare diseases information. Mar 01, 2020 genetics home reference ghr contains information on loeysdietz syndrome type 4. Department of dermatology, kangbuk samsung hospital, sungkyunkwan university school of medicine, seoul, korea. 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 common dermal lesions which arise due to the stretching of the dermis. 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. 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. Sg occurs on the abdomen, breasts, buttocks, hips, and thighs and may develop after the 24th week of gestation. In an effort to achieve inconspicuous scars, plastic surgeons try to place their incisions in. Do any topical agents help prevent or reduce stretch marks. Connective tissue provides strength and flexibility to structures throughout the body such as bones, ligaments, muscles, walls of blood vessels, and heart valves. For each sd skin area was used from i to 4 ml of the product diluted with 3 percent carbo caine. 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.
Koebner phenomenon induced by striae distensae in a vitiligo patient ruixing yu, 1, 2 yun hui, 2 and chengrang li 2. 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. Striae distensae are a common form of dermal scarring that appear on the skin as erythematous, violaceous, or hypopigmented linear striations. Striae distensae, stretch marks, emollient, carbocysteine, sweet almond oil 1.
Development of striae distensae a mechanochemical model. Enlargement of the different parts of the body imposes progressive stress and. 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. Topical management of striae distensae stretch marks. Striae distensae are atrophic dermal scars with overlying epidermal atrophy causing significant cosmetic concern. 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. Lasers and lights for the treatment of striae distensae. Stretch marks striae cutis distensae are a common disfiguring skin condition characterized by linear bands of atrophicappearing skin. Treatment of striae distensae with variable square pulse. Click on the link to view a sample search on this topic. In recent years, microneedling has been proven useful in the treatment. Pdf therapeutic targets in the management of striae. Files are available under licenses specified on their description page.
Striae distensae are most likely to respond to pharmacologic products and clinical interventions at their early stage striae rubra. 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. Striae gravidarum are striae distensae occurring secondary to pregnancy. Ariya sarikaputi3 abstract striae distensae caused by stretching of the. Pubmed is a searchable database of medical literature and lists journal articles that discuss loeysdietz syndrome type 4.
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. Flagellate hyperpigmentation also has been reported following intralesional bleomycin sulfate for the treatment of verruca plantaris. Striae are linear lesions that are most often found on breasts, abdomen, hips, and thighs. Striae distensae sd or stretch marks are linear dermal scars which are produced as a result of excessive stretching of the skin. 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. This page was last edited on 28 january 2019, at 08. They occur frequently during adolescence or pregnancy when there is rapid tissue. The development of striae has been associated with pregnancy, growth spurts.
To avoid adverse side effects, lower fluence should be used in patients with darker. For instance, lesions are more likely to develop in the axillae and on the arms of weight lifters, whereas striae. In 1935, parkes weber reported an unusual presentation of striae that he called idiopathic striae atrophicae of puberty. 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. A rare complication resulting from overinflation of the tissue expander. However, the main purpose of the breast lift is to improve the shape of the breast, not to remove stretch marks. Striae gravidarum as a predictor of spontaneous preterm. Physiological striae atrophicae of adolescence with. Review article incentive program winners striae distensae stretch marks and different modalities of therapy. 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. We report a case of skin necrosis that was exclusively localized on steroidinduced striae distensae. Striae distensae, or stretch marks, are common atrophic scars that can be symptomatic and cosmetically concerning 1. Longterm followup on patients treated for abdominal fat.
A number of treatments have been proposed, but they usually have unsatisfactory result especially in striae alba. Ten patients of varying skin types iv having striae distensae. 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. Risk factors for the development of striae gravidarum american. The safety and efficacy of the 1540nm nonablative fractional.
Efficacy of intense pulsed light in treatment of striae. Association between severities of striae gravidarum and. The purpose of this study was to demonstrate that selected commercial topical agents can improve the appearance of striae alba. Fractionated co2 laser in the treatment of striae alba in. Use of low level laser therapy in striae distensae.
Although typically asymptomatic, striae distensae may be disfiguring and psychologically distressing to patients. Pdf striae distansae sd or stretch marks are very common, asymptomatic, skin condition frequently seen among females between 5 to 50. Materials and methods twentyfive consecutive adults spt iv with striae distensae. Striae distensae are a common finding in marfan syndrome. Efficacy of intense pulsed light in treatment of striae distensae in thai dr. 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. Striae distensae sd, more commonly known as stretch marks, is a common and disfiguring dermatological condition in which the layer of dermis becomes scarred. There is a larger pigmented scar involving the skin of the junction of the left foot and ankle ventrolaterally. Multiple purplish striae present at back and arms fig. Sodium lascorbate enhances elastic fibers deposition by fibroblasts from normal and pathologic human skin. Boswellic acid based cream is effecfive and well tolerated treatment far striae distensae riassunto causa. Therapeutic targets in the management of striae distensae. Striae are also common after prolonged use of topical or systemic corticosteroids. Mar 07, 2017 striae distensae are most likely to respond to pharmacologic products and clinical interventions at their early stage striae rubra.
Indian dermatology online journal striae distensae. 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 distensae, a common skin condition, do not cause any significant medical problem. Striae rubra are the earliest presentation of striae distensae and are characterized by an erythematous to violaceous color picture 1ac. Striae cream with the regenetrol complex tm was studied in a doubleblind controlled format in which the cream applied to one side of the body was compared with the control cream applied to the other side of the body after two months. Pdf topical management of striae distensae stretch marks.
In the initial phase striae rubra, they are erythematous, raised. Fs for the treatment of striae distensae, 27 women with striae distensae were treated in a single session with a co. Various topical and procedural modalities have been employed for the treatment of striae distensae. For the prevention and treatment of stretch marks zur. All structured data from the file and property namespaces is available under the creative commons cc0 license. The direction of optimal skin incisions derived from striae distensae. The direction of optimal skin incisions derived from. In that case, the patient had received 14 u of intralesional bleomycin sulfate injected at different sites of recal. The location depends in part on the circumstance under which they developed. 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. A high proportion of teenage girls and pregnant women are beset with striae distensae.
Treatment of striae distensae with nonablative fractional laser versus ablative co 2 fractional laser. It is called as striae gravidarum when it occurs secondary to a pregnancy. Introduction striae distensae or stretch marks represent a common skin condition that does not induce any significant. Stretch marks, also known as striae, are a form of scarring on the skin with an offcolor hue. Dermatologists now have a number of options to tackle this cosmetically stressful. 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. H o r m o n a l f a c t o r s the common occurrence of striae distensae. Loeysdietz syndrome type 4 genetic and rare diseases.
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 or stretch marks are cutaneous changes which may appear everywhere on the body, except for the face, and they usually occur in stretching areas. Mohammad abid keen abstract striae distensae, commonly known as stretch marks, are benign skin lesions associated with considerable cosmetic morbidity. There is a small pigmented scar of the ventromedial right mid lower leg. Striae distensae stretch marks and different modalities. Dermatology british journal of medical practitioners.
Removal of the stretch marks is just a positive side effect. How to get rid of striae distensae important must see now. Common locations for striae distensae are the abdomen, breasts, medial upper arms. Objective to describe the clinical results and side effects of microneedling in a series of 25 individuals with striae distensae. Striae distensae alba is a relatively common skin disorder. We want to present unusually large striae that developed nearly all the body of a 14yearold patient during steroid therapy. Department of dermatology, isfahan university of medical sciences, skin and stem cell research center, tehran university of medical sciences, tehran. To analyze the effects of lowlevel laser therapy 660nm in the treatment of striae alba. Over time they may diminish, but will not disappear completely. Striae distensae start out as reddish lesions, called striae rubra, which become white striae alba as they age. Once they become white striae alba, only few treatment modalities exist and they are become quite difficult to treat. The aim of this study was to evaluate how abdominal circumferential reduction achieved after using a noninvasive radiofrequency device btl vanquish, btl industries inc. Pdf striae distensae sd are common dermal lesions, with significant physical and psychological impact.
Striae distensae sd or stretch marks are common dermal lesions which arise due to the stretching of the. There are two main types of striae distensae, striae rubra and striae. Common locations for striae distensae are the abdomen, breasts, medial upper arms, hips, lower back, buttocks, and thighs. Several cutaneous adverse effects have been described with the use of vascular endothelial growth factor inhibitors.
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