Although typically asymptomatic, striae distensae may be disfiguring and psychologically distressing to patients. Striae distensae surgical and cosmetic dermatology. The 1540nm nonablative fractional laser star lux 500 has been shown to improve atrophic scars by increasing the amount of dermal collagen. Striae distensae sd are a frequent skin condition for which treatment remains a challenge. Stretch marks striae cutis distensae are a common disfiguring skin condition characterized by linear bands of atrophicappearing skin. Distended striae distensae in a patient with nephrotic. Boswellic acid based cream is effecfive and well tolerated treatment far striae distensae riassunto causa. Treatment of striae distensae with variable square pulse.
Once they become white striae alba, only few treatment modalities exist and they are become quite difficult to treat. Striae cream with regenetrol complextm demonstrates. 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. 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. 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. Striae distensae, or stretch marks, are common atrophic scars that can be symptomatic and cosmetically concerning 1.
Files are available under licenses specified on their description page. 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. It is called as striae gravidarum when it occurs secondary to a pregnancy. 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 1935, parkes weber reported an unusual presentation of striae that he called idiopathic striae atrophicae of puberty. 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. 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 are common dermatologic lesions that often arise as a result of rapid weight change, certain endocrine conditions, or prolonged exposure to steroids. Common dermatoses david kasper, do, mba abingtonjefferson hospital. Association between severities of striae gravidarum and. Sd is caused by progressive stretching of the skin connective tissue due to changes in the. Striae distensae are a common form of dermal scarring that appear on the skin as erythematous, violaceous, or hypopigmented linear striations.
Dermatology british journal of medical practitioners. Department of dermatology, isfahan university of medical sciences, skin and stem cell research center, tehran university of medical. Stretch marks, also known as striae, are a form of scarring on the skin with an off color hue. Striae distensae sd or stretch marks are linear dermal scars which are produced as a result of excessive stretching of the skin. Pdf striae distensae stretch marks and different modalities of. You can click on the link to view this information page. We report a case of skin necrosis that was exclusively localized on steroidinduced striae distensae. Over time they may diminish, but will not disappear completely. Striae distensae are atrophic dermal scars with overlying epidermal atrophy causing significant cosmetic concern. Ten patients of varying skin types iv having striae distensae. Therapeutic targets in the management of striae distensae. Striae gravidarum are striae distensae occurring secondary to pregnancy. Indian dermatology online journal striae distensae. There is a larger pigmented scar involving the skin of the junction of the left foot and ankle ventrolaterally.
A number of treatments have been proposed, but they usually have unsatisfactory result especially in striae alba. This website is maintained by the national library of medicine. Striae distensae, commonly known as stretch marks, are benign skin lesions associated with considerable cosmetic morbidity. Striae distensae sd, more commonly known as stretch marks, is a common and disfiguring dermatological condition in which the layer of dermis becomes scarred. Background striae distensae have notoriously been dif.
Efficacy of intense pulsed light in treatment of striae. Koebner phenomenon induced by striae distensae in a vitiligo. Several cutaneous adverse effects have been described with the use of vascular endothelial growth factor inhibitors. Use of low level laser therapy in striae distensae. The purpose of this study was to demonstrate that selected commercial topical agents can improve the appearance of striae alba.
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. Striae distensae are linear atrophic skin lesions, well defined and secondary to. Fs for the treatment of striae distensae, 27 women with striae distensae were treated in a single session with a co. 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. Review article incentive program winners striae distensae stretch marks and different modalities of therapy. Striae distensae is a condition characterized by scarring of the dermis seen as violaceous, erythematous or hypopigmented linear striations on the skin. Do any topical agents help prevent or reduce stretch marks. Sodium lascorbate enhances elastic fibers deposition by fibroblasts from normal and pathologic human skin. Striae distensae are a common finding in marfan syndrome.
Marfan syndrome genetic and rare diseases information. Synonyms include the terms striae, stretch marks, and striae atrophicans. How to get rid of striae distensae important must see now. Striae distensae, stretch marks, emollient, carbocysteine, sweet almond oil 1. Sg occurs on the abdomen, breasts, buttocks, hips, and thighs and may develop after the 24th week of gestation. Striae distensae sd or stretch marks are common dermal lesions which arise due to the stretching of the dermis. Striae distensae alba is a relatively common skin disorder. 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. This page was last edited on 28 january 2019, at 08. Mar 07, 2017 striae distensae are most likely to respond to pharmacologic products and clinical interventions at their early stage striae rubra. However, the main purpose of the breast lift is to improve the shape of the breast, not to remove stretch marks.
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. Striae occur in over 70% of pregnant women and tend to. 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 gravidarum as a predictor of spontaneous preterm.
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 a common finding in adolescents of both sexes,811,812 particularly females, and in pregnancy striae gravidarum. Removal of the stretch marks is just a positive side effect. Connective tissue provides strength and flexibility to structures throughout the body such as bones, ligaments, muscles, walls of blood vessels, and heart valves. Materials and methods twentyfive consecutive adults spt iv with striae distensae. Despite considerable investigations into their origins, the pathogenesis of striae distensae. Striae are also common after prolonged use of topical or systemic corticosteroids. A randomized clinical trial was conducted with 20 women equally divided into a control. A high proportion of teenage girls and pregnant women are beset with striae distensae. Flagellate hyperpigmentation also has been reported following intralesional bleomycin sulfate for the treatment of verruca plantaris. Striae distensae stretch marks and different modalities. Mar 01, 2020 genetics home reference ghr contains information on loeysdietz syndrome type 4.
In the initial phase striae rubra, they are erythematous, raised. Ariya sarikaputi3 abstract striae distensae caused by stretching of the. Striae distensae sd or stretch marks are common dermal lesions which arise due to the stretching of the. A rare complication resulting from overinflation of the tissue expander.
Objective to describe the clinical results and side effects of microneedling in a series of 25 individuals with striae distensae. The safety and efficacy of the 1540nm nonablative fractional. 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. 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. Multiple purplish striae present at back and arms fig. All structured data from the file and property namespaces is available under the creative commons cc0 license. Loeysdietz syndrome type 4 genetic and rare diseases. Striae distensae start out as reddish lesions, called striae rubra, which become white striae alba as they age.
To avoid adverse side effects, lower fluence should be used in patients with darker. Fractional co laser as an effective modality in treatment. Pdf striae distansae sd or stretch marks are very common, asymptomatic, skin condition frequently seen among females between 5 to 50. Idiopathic striae atrophicae of puberty pubmed central pmc. Various topical and procedural modalities have been employed for the treatment of striae distensae. The direction of optimal skin incisions derived from. Pdf therapeutic targets in the management of striae. 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. For the prevention and treatment of stretch marks zur.
We want to present unusually large striae that developed nearly all the body of a 14yearold patient during steroid therapy. In recent years, microneedling has been proven useful in the treatment. There are two main types of striae distensae, striae rubra and striae. The unusually large striae distensae all over the body. Striae are linear lesions that are most often found on breasts, abdomen, hips, and thighs. 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. For each sd skin area was used from i to 4 ml of the product diluted with 3 percent carbo caine. It is a common skin condition that rarely causes any significant medical problems but is often a significant source of distress to those affected. Dermatologists now have a number of options to tackle this cosmetically stressful. Treatment of striae distensae with nonablative fractional laser versus ablative co 2 fractional laser.
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. Department of dermatology, kangbuk samsung hospital, sungkyunkwan university school of medicine, seoul, korea. Striae distensae, or stretch marks, are linear scars in the dermis which arise from rapid stretching of the skin over weakened connective tissue. Treatment of striae distensae with nonablative fractional laser vs ablative co2 fractional laser vol. To analyze the effects of lowlevel laser therapy 660nm in the treatment of striae alba. Efficacy of intense pulsed light in treatment of striae distensae in thai dr.
Jan 26, 2017 marfan syndrome is a disorder of the connective tissue. They occur frequently during adolescence or pregnancy when there is rapid tissue. For instance, lesions are more likely to develop in the axillae and on the arms of weight lifters, whereas striae. 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. Treatment of striae distensae with nonablative fractional. Risk factors for the development of striae gravidarum american. Fs and clinical improvement was assessed by comparing pre and posttreatment clinical photographs and participant satisfaction rates. Yag lasers in two different intensities for striae alba white stretch marks and striae rubra red stretch marks. H o r m o n a l f a c t o r s the common occurrence of striae distensae. Enlargement of the different parts of the body imposes progressive stress and. 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, a common skin condition, do not cause any significant medical problem. 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.
The direction of optimal skin incisions derived from striae distensae. Laser stretch mark removal how it works, effectiveness, and. Fractional co laser as an effective modality in treatment of. 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. The location depends in part on the circumstance under which they developed. Pubmed is a searchable database of medical literature and lists journal articles that discuss loeysdietz syndrome type 4. New clinically proven medical product for prevention and. Striae distensae, otherwise known as stretch marks, are common skin lesions found in a variety of clinical settings. Department of dermatology, isfahan university of medical sciences, skin and stem cell research center, tehran university of medical sciences, tehran.
Striae distensae are most likely to respond to pharmacologic products and clinical interventions at their early stage striae rubra. Request pdf laser and light treatments for striae distensae. 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. Click on the link to view a sample search on this topic. Over time, striae rubra evolve into striae alba, which appear hypopigmented, atrophic, and scarlike picture 2ab. Fractionated co2 laser in the treatment of striae alba in. In that case, the patient had received 14 u of intralesional bleomycin sulfate injected at different sites of recal. In an effort to achieve inconspicuous scars, plastic surgeons try to place their incisions in. Stretch marks, also known as striae, are a form of scarring on the skin with an offcolor hue.
Incidence and risk factors of striae distensae following breast. 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. The aim of this study was to evaluate how abdominal circumferential reduction achieved after using a noninvasive radiofrequency device btl vanquish, btl industries inc. Common locations for striae distensae are the abdomen, breasts, medial upper arms, hips, lower back, buttocks, and thighs. Mohammad abid keen abstract striae distensae, commonly known as stretch marks, are benign skin lesions associated with considerable cosmetic morbidity. Striae rubra are the earliest presentation of striae distensae and are characterized by an erythematous to violaceous color picture 1ac. The development of striae has been associated with pregnancy, growth spurts. Microneedling treatment of striae distensae in light and.
It manifests as linear dermal atrophic scars and can cause significant distress to the affected individuals. Striae distensae sd, otherwise known as stretchmarks, are a common presenting complaint, particularly in young healthy women. Johns hopkins has information on loeysdietz syndrome on their web site. Longterm followup on patients treated for abdominal fat. Introduction striae distensae or stretch marks represent a common skin condition that does not induce any significant.
Pdf topical management of striae distensae stretch marks. Topical management of striae distensae stretch marks. Visual properties of striae distensae of chinese women. 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. Pdf striae distensae sd are common dermal lesions, with significant physical and psychological impact. A through search of the literature using the words striae distensae, striae rubra, striae alba and stretch marks was carried out in the pubmed. Lasers and lights for the treatment of striae distensae. Common locations for striae distensae are the abdomen, breasts, medial upper arms. See genetics, clinical features, and diagnosis of marfan syndrome and related disorders. Physiological striae atrophicae of adolescence with. Despite considerable investigations into their origins, the pathogenesis of striae distensae remains unknown. Development of striae distensae a mechanochemical model. Microneedlingtreatmentofstriaedistensaeinlightand dark.
1292 775 688 204 410 780 488 699 539 539 498 271 397 159 60 1132 1237 372 253 802 795 1376 640 677 353 403 1467 914 423 1353 670 669 195