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Microneedling Treatment of Striae Distensae in Light and Dark Skin With Long-Term Follow-Up. Dermatol Surg 2020; 46:459-464. [DOI: 10.1097/dss.0000000000002081] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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52
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Elsedfy H. Striae distensae in adolescents: A mini review. ACTA BIO-MEDICA : ATENEI PARMENSIS 2020; 91:176-181. [PMID: 32191678 PMCID: PMC7569590 DOI: 10.23750/abm.v91i1.9248] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/05/2020] [Accepted: 02/05/2020] [Indexed: 11/23/2022]
Abstract
Striae distensae or stretch marks are mainly a cosmetic concern. They commonly occur in adolescence and in pregnant women. Although, generally more common in females; physiological striae atrophicae of adolescence are more common in males. The pathophysiology is multifactorial with mechanical stretching of the skin being the most important. Despite of an abundance of treatment modalities none is 100% effective. (www.actabiomedica.it)
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Affiliation(s)
- Heba Elsedfy
- Pediatrics Department, Ain Shams University, Cairo, Egypt.
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53
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Vallini V, Rinaldi E, Mangano L, Modesti L, Ghelardini P, Roberts AT, Grazi G. Multiple subcutaneous haematomas of the legs causing skin necrosis in an elderly patient affected by corticosteroid-induced skin atrophy: Case report and review of literature. Int Wound J 2020; 17:540-546. [PMID: 31972900 DOI: 10.1111/iwj.13312] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2018] [Accepted: 03/16/2018] [Indexed: 12/19/2022] Open
Abstract
Corticosteroid-induced skin atrophy (CISA) consists of a thinning of the skin and subcutaneous tissues, representing the natural consequence of a prolonged glucocorticosteroids use, both systemic as well as topical. It is characterised by the loss of elasticity and skin thickness, associated with an increased skin fragility leading to ecchymoses, haematomas, and steroid purpura. The management of CISA is a challenge for physicians, as the pathology is reversible in a minimal percentage of cases and only after a short topical steroid or low-dose course therapy. Often wounds with large loss of substance represent the more common complication, after a surgical drainage which is often necessary. Skin necrosis with compartment syndrome of a leg is another potential risk for these patients. Here, we report a case of an elderly patient affected by multiple subcutaneous haematomas of the legs causing skin necrosis, arisen after the use of anticoagulants for a deep venous thrombosis. The patient was successfully treated with surgical drainage, negative pressure wound therapy (NPWT), and porcine xenograft with no complications. Finally, we discuss the evidence of the current literature on topic.
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Affiliation(s)
- Valerio Vallini
- Azienda USL Toscana nord ovest, U.O. Medicina Interna, Ospedale Santa Maria Maddalena, Pisa, Italy
| | - Elisabetta Rinaldi
- Azienda USL Toscana nord ovest, U.O. Medicina Interna, Ospedale Santa Maria Maddalena, Pisa, Italy
| | - Luciana Mangano
- Azienda USL Toscana nord ovest, U.O. Medicina Interna, Ospedale Santa Maria Maddalena, Pisa, Italy
| | - Luca Modesti
- Azienda USL Toscana nord ovest, U.O. Ortopedia, Ospedale Felice Lotti, Pisa, Italy
| | - Piero Ghelardini
- Azienda USL Toscana nord ovest, U.O. Medicina Interna, Ospedale Santa Maria Maddalena, Pisa, Italy
| | - Anna Theresa Roberts
- Azienda USL Toscana nord ovest, U.O. Medicina Interna, Ospedale Santa Maria Maddalena, Pisa, Italy
| | - Giovanni Grazi
- Azienda USL Toscana nord ovest, U.O. Medicina Interna, Ospedale Santa Maria Maddalena, Pisa, Italy
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Carvalho CP, Costa‐Júnior JFS, Ferreira da Silva FF, D`Agostinho JG, Krüger MAV, Pereira WCDA. Using high‐resolution ultrasound imaging to characterize dermal striae in human skin. Skin Res Technol 2020; 26:465-475. [DOI: 10.1111/srt.12832] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2019] [Accepted: 12/18/2019] [Indexed: 11/30/2022]
Affiliation(s)
- Cátia Pinto Carvalho
- Biomedical Engineering Program COPPE Federal University of Rio de Janeiro Rio de Janeiro Brazil
| | - José Francisco Silva Costa‐Júnior
- Biomedical Engineering Program COPPE Federal University of Rio de Janeiro Rio de Janeiro Brazil
- Brazilian Air Force Academy Pirassununga Brazil
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55
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Efficacy and Safety of a Sublative Bipolar Fractional Radiofrequency System Combined With Topical Tretinoin in Treating Striae Gravidarum: A Randomized Pilot Study. Dermatol Surg 2020; 45:1245-1252. [PMID: 30893166 DOI: 10.1097/dss.0000000000001933] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
BACKGROUND Striae gravidarum is a common skin condition resulting after pregnancy, caused by fibroblast dysfunction. Although not considered a disease, it may be considered cosmetically unpleasant to sufferers and remains as a therapeutic challenge to date. OBJECTIVE To evaluate the efficacy and safety of a sublative bipolar fractional radiofrequency (FRF) system, associated with 0.1% topical tretinoin, in treating striae gravidarum. MATERIALS AND METHODS Eighteen Chinese women with striae gravidarum on the abdomen were enrolled in the study. The target area of each patient was divided into 4 sites randomly: control, tretinoin, FRF, and tretinoin and FRF. Fractional RF was used 3 times, with 3-month intervals. Changes to striae gravidarum were evaluated through subjective scaling and objective measures, using both high-frequency ultrasound and histological study. RESULTS Both subjective assessment and skin thickness differences demonstrated significant improvement in the combination site (p < .001). Average optical density and density percentage of neocollagen and elastic fibers were also markedly increased in the combination site (p < .05). The adverse effects of FRF were limited to mild pain and transient erythema, edema, and microcrusts. CONCLUSION The combined therapy of FRF and topical tretinoin may be a potential method in treating striae gravidarum, with satisfactory efficacy and limited side effects.
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56
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Kim MA, Jung YC, Kim EJ. Evaluation of anisotropic properties of striae distensae with regard to skin surface texture and viscoelasticity. Skin Res Technol 2019; 26:220-225. [PMID: 31556202 DOI: 10.1111/srt.12783] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2019] [Accepted: 09/02/2019] [Indexed: 11/29/2022]
Abstract
BACKGROUND Striae distensae (SD) are skin lesions of parallel streaks, which mostly occur during rapid tissue expansion. Considering the etiological mechanism of SD, including dermal network ruptures and alignment to mechanical stretch, structural directionality or anisotropy could be expected. Non-invasive objective methods for measuring the anisotropy of SD have not been suggested yet. Therefore, we evaluated the anisotropic properties of SD with regard to skin surface texture and viscoelasticity, to verify them as new objective evaluation parameters of SD. METHODS Thirty-two healthy subjects with SD on their body participated. Anisotropy of skin surface texture and biomechanical properties of SD-involved skin and adjacent normal skin was assessed and compared. RESULTS Analysis of skin surface texture, based on the ×60 magnified images, revealed that SD have more disordered patterns compared to the regular honeycomb patterns seen in the normal surrounding skin. SD have bigger sizes of each blob than normal skin. The overall anisotropy of skin texture was significantly higher in SD. Skin biomechanical parameters, measured using Cutiscan® , indicated the less deformable, less recovered, and less viscoelastic properties of SD. When comparing viscoelastic properties over 360°, SD were more anisotropic than the adjacent normal skin as well. CONCLUSION We observed that SD were significantly more anisotropic than adjacent normal skin with regard to skin surface texture and viscoelasticity. Therefore, anisotropy could be an objective evaluation parameter to represent the distinctive features of SD. It can be applied for evaluation of the SD severity and clinical efficacy of various treatments.
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Affiliation(s)
- Min Ah Kim
- Skincare Research Institute, AMOREPACIFIC R&D Center, Yongin, Korea
| | - Yu Chul Jung
- Skincare Research Institute, AMOREPACIFIC R&D Center, Yongin, Korea
| | - Eun Joo Kim
- Skincare Research Institute, AMOREPACIFIC R&D Center, Yongin, Korea
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Perez‐Aso M, Roca A, Bosch J, Martínez‐Teipel B. Striae reconstructed, a full thickness skin model that recapitulates the pathology behind stretch marks. Int J Cosmet Sci 2019; 41:311-319. [DOI: 10.1111/ics.12538] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2019] [Accepted: 05/03/2019] [Indexed: 01/08/2023]
Affiliation(s)
- M. Perez‐Aso
- Provital, S.A. Gorgs Llado 200, 08210 Barbera del Valles Barcelona Spain
| | - A. Roca
- Provital, S.A. Gorgs Llado 200, 08210 Barbera del Valles Barcelona Spain
| | - J. Bosch
- Provital, S.A. Gorgs Llado 200, 08210 Barbera del Valles Barcelona Spain
| | - B. Martínez‐Teipel
- Provital, S.A. Gorgs Llado 200, 08210 Barbera del Valles Barcelona Spain
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58
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Schuck DC, de Carvalho CM, Sousa MPJ, Fávero PP, Martin AA, Lorencini M, Brohem CA. Unraveling the molecular and cellular mechanisms of stretch marks. J Cosmet Dermatol 2019; 19:190-198. [PMID: 31131982 DOI: 10.1111/jocd.12974] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2018] [Accepted: 01/17/2019] [Indexed: 12/19/2022]
Abstract
BACKGROUND Striae distensae, commonly known as stretch marks, are cutaneous lesions that accompany the hormonal upheavals of the major stages of life: puberty and pregnancy. Stretch marks occur in 90% of women, and they appear as red or purple lines that slowly fade to pale lines on the skin. There have been few studies regarding stretch mark origins, and new preventive and corrective treatments are needed. AIMS The aim of this work was to understand the primary genes and proteins involved in the regulation of striae compared to normal skin and to identify the differentially expressed genes and biochemical aspects of SA and SR Importantly, this is the first published study to use a molecular high-throughput approach combined with in vivo evaluation. METHODS In this study, we analyzed the molecular differences between skin with and without stretch marks (rubra [SR] and alba [SA]) of female volunteers using DNA microarray (Whole Human Genome Microarray Kit, 4×44 K, Agilent Technologies) analyses of cutaneous biopsies (2 mm) and in vivo confocal Raman spectroscopy of selected buttock regions, a technique recently introduced as a noninvasive skin evaluation method. RESULTS We identified gene expression alterations related to ECM, cellular homeostasis, and hormones such as secretoglobulins. Spectral analyses of collagen, fibrillin, and glycosaminoglycans were conducted by Raman spectroscopy at different skin depths. The main differences observed when comparing skin with and without stretch marks were at depths between 75 and 95 μm, corresponding to the dermal-epidermal junction and dermis regions and showing differences between normal skin and stretched skin regarding collagen, collagen hydration, and elastin fibers. CONCLUSION The results obtained by RNA and protein analyses are complementary and show that significant changes occur in the skin affected by stretch marks. These results suggest new strategies and opportunities to treat this skin disorder and for the development of new and eficiente cosmetic products.
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Affiliation(s)
- Desirée C Schuck
- Grupo Boticário, Research & Development, São José dos Pinhais, Brazil
| | - Camila M de Carvalho
- Grupo Boticário, Research & Development, São José dos Pinhais, Brazil.,Laboratório de Espectroscopia Vibracional Biomédica, Universidade do Vale do Paraíba, São José dos Campos, Brazil
| | - Mariane P J Sousa
- Biomedical Vibrational Spectroscopy Group, Biomedical Engineering Innovation Center, Universidade Brasil, Itaquera, Brazil
| | - Priscila P Fávero
- Departamento de Física, Universidade Federal do Piauí, Teresina, Brazil
| | - Airton A Martin
- Departamento de Física, Universidade Federal do Piauí, Teresina, Brazil.,Industrial Biotechnology Department, Universidade Positivo, Curitiba, Brazil
| | - Márcio Lorencini
- Grupo Boticário, Research & Development, São José dos Pinhais, Brazil
| | - Carla A Brohem
- Grupo Boticário, Research & Development, São José dos Pinhais, Brazil
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59
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Naspolini AP, Boza JC, da Silva VD, Cestari TF. Efficacy of Microneedling Versus Fractional Non-ablative Laser to Treat Striae Alba: A Randomized Study. Am J Clin Dermatol 2019; 20:277-287. [PMID: 30618025 DOI: 10.1007/s40257-018-0415-0] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
BACKGROUND Striae distensae (SD), an unsightly cutaneous condition characterized by epidermal atrophy, can affect the quality of life of women. OBJECTIVES The aim of our study was to compare the efficacy of a neodymium:yttrium-aluminum-perovskite 1340 nm non-ablative fractional laser (NAFL) and the microneedling (MN) technique to treat striae alba (SA). MATERIALS AND METHODS NAFL and MN were used to treat striae on the longitudinally divided abdominal surface of 20 women classified as Fitzpatrick skin type III or IV (five sessions at monthly intervals). Photographs and skin biopsies were obtained during pretreatment and after the third and fifth treatment sessions for all patients. Patients and two independent evaluators assessed the clinical response using the Global Aesthetic Improvement Scale. RESULTS Patient-reported evaluation showed improvement of striae using both modalities, with no statistically significant difference between the groups. Collagen and elastic fibers were significantly increased (p < 0.01) after the third and fifth treatment sessions, with no significant difference between the modalities. In addition, Dermatology Life Quality Index scores showed significant improvement (p < 0.001) after the third and fifth treatment sessions compared with pretreatment values, with average values of 8.4 (standard error [SE] ± 1.21), 3.17 (SE ± 0.55), and 2.64 (SE ± 0.60), respectively. The mean pain score using the Visual Analog Scale in the MN group versus the NAFL group was 5.23 (SE ± 0.31) versus 2.39 (SE ± 0.22) [p < 0.001], and the mean duration of adverse events in the NAFL group versus the MN group was 4.03 days (SE ± 0.45) versus 3 days (SE ± 0.37) [p = 0.02]. CONCLUSION NAFL and MN are safe for treating SD, particularly in individuals classified as phototype III or IV. MN is a useful non-technology-dependent, low-cost alternative therapy for SA. CLINICAL TRIAL REGISTRATION NUMBER NCT03390439.
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Affiliation(s)
- Ana Paula Naspolini
- Universidade Federal do Rio Grande do Sul, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.
| | | | | | - Tania Ferreira Cestari
- Universidade Federal do Rio Grande do Sul, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil
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60
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Hidden association between the presence and severity of striae gravidarum and low back pain in pregnancy. Eur J Obstet Gynecol Reprod Biol 2019; 233:49-52. [DOI: 10.1016/j.ejogrb.2018.12.004] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2018] [Revised: 11/15/2018] [Accepted: 12/03/2018] [Indexed: 12/23/2022]
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61
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Disphanurat W, Kaewkes A, Suthiwartnarueput W. Comparison between topical recombinant human epidermal growth factor and
Aloe vera
gel in combination with ablative fractional carbon dioxide laser as treatment for striae alba: A randomized double‐blind trial. Lasers Surg Med 2019; 52:166-175. [DOI: 10.1002/lsm.23052] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/07/2018] [Indexed: 01/01/2023]
Affiliation(s)
- Wareeporn Disphanurat
- Division of DermatologyDepartment of MedicineThammasat UniversityPathumthaniThailand
| | - Arisa Kaewkes
- Division of DermatologyDepartment of MedicineThammasat UniversityPathumthaniThailand
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62
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Meningaud JP, SidAhmed-Mezi M, Billon R, Rem K, La Padula S, Hersant B. Clinical benefit of using a multifractional Er:YAG laser combined with a spatially modulated ablative (SMA) module for the treatment of striae distensae: A prospective pilot study in 20 patients. Lasers Surg Med 2018; 51:230-238. [PMID: 30480320 DOI: 10.1002/lsm.23042] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/03/2018] [Indexed: 12/31/2022]
Abstract
BACKGROUND AND OBJECTIVE Striae distensae (SD) are cutaneous lesions that often occur on the breasts, abdomen, hips, and thighs. The aim of this study is to evaluate the effectiveness of a new technique using a non-invasive Er:YAG laser combined with Spatially Modulated Ablation (SMA) module for the treatment of SD. STUDY DESIGN/MATERIALS AND METHODS This prospective pilot clinical study included 20 patients with skin phototypes I to IV who are affected by SD. The Er:YAG 2940 nm laser with SMA module was used in scanning mode with fluences of 2.3 J/cm2 , frequency of 3 Hz, and pulse duration of 0.3 milliseconds. The laser beam is split into several microspots and penetrates only by 50 μm in the epidermis thickness. This technology induces also the generation of acoustic waves to stimulate tissue regeneration. Each patient underwent six laser sessions. An objective and subjective assessment of SD were used. All adverse events were reported. RESULTS Most patients reported good improvement and expressed their satisfaction with the treatment. Cutometric analysis showed significant improvement in skin elasticity at the end of study. Moreover, ultrasound analysis revealed an increase in dermal thickness (P < 0.01). POSAS scores decreased significantly at 3 and 6 months, reflecting improved skin quality. The average recovery time was 5 days, with no adverse effects reported. CONCLUSION Using Er:YAG laser (2,940 nm) with SMA technology to treat SD resulted in improved volume and textural appearance without side effects. The elasticity and thickness of the dermis also improved. The Er:YAG laser with SMA module may be considered as a novel and effective technique to treat SD lesions with minimal time recovery. Lasers Surg. Med. 51:230-238, 2019. © 2018 Wiley Periodicals, Inc.
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Affiliation(s)
- Jean Paul Meningaud
- Department of Plastic, Reconstructive and Maxillo facial Surgery, Hopital Henri Mondor, Creteil, 94010, France
| | - Mounia SidAhmed-Mezi
- Department of Plastic, Reconstructive and Maxillo facial Surgery, Hopital Henri Mondor, Creteil, 94010, France
| | - Raphaelle Billon
- Department of Plastic, Reconstructive and Maxillo facial Surgery, Hopital Henri Mondor, Creteil, 94010, France
| | - Kessara Rem
- Department of Plastic, Reconstructive and Maxillo facial Surgery, Hopital Henri Mondor, Creteil, 94010, France
| | - Simone La Padula
- Department of Plastic, Reconstructive and Maxillo facial Surgery, Hopital Henri Mondor, Creteil, 94010, France
| | - Barbara Hersant
- Department of Plastic, Reconstructive and Maxillo facial Surgery, Hopital Henri Mondor, Creteil, 94010, France
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Mazzella C, Cantelli M, Nappa P, Annunziata MC, Delfino M, Fabbrocini G. Confocal microscopy can assess the efficacy of combined microneedling and skinbooster for striae rubrae. J COSMET LASER THER 2018; 21:213-216. [DOI: 10.1080/14764172.2018.1511913] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- Caterina Mazzella
- Department of Clinical Medicine and Surgery, Section of Dermatology, University of Naples Federico II, Naples, Italy
| | - Mariateresa Cantelli
- Department of Clinical Medicine and Surgery, Section of Dermatology, University of Naples Federico II, Naples, Italy
| | - Paola Nappa
- Department of Clinical Medicine and Surgery, Section of Dermatology, University of Naples Federico II, Naples, Italy
| | - Maria Carmela Annunziata
- Department of Clinical Medicine and Surgery, Section of Dermatology, University of Naples Federico II, Naples, Italy
| | - Mario Delfino
- Department of Clinical Medicine and Surgery, Section of Dermatology, University of Naples Federico II, Naples, Italy
| | - Gabriella Fabbrocini
- Department of Clinical Medicine and Surgery, Section of Dermatology, University of Naples Federico II, Naples, Italy
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Poulsen L, Pusic A, Robson S, Sorensen JA, Rose M, Juhl CB, Stoving RK, Andries A, Klassen AF. The BODY-Q Stretch Marks Scale: A Development and Validation Study. Aesthet Surg J 2018; 38:990-997. [PMID: 29596639 DOI: 10.1093/asj/sjy081] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND Stretch marks are common permanent dermal lesions that can cause psychosocial distress. A number of treatment modalities are available, with the majority targeted towards collagen production. OBJECTIVES To develop and field test a new BODY-Q scale to measure appearance of stretch marks in order to provide a means to incorporate the patient perspective into future treatment studies. METHODS We previously described the development of the BODY-Q conceptual framework, which involved a literature review, 63 patient interviews, 22 cognitive interviews and input from 9 experts, and the international field-test study that involved 403 weight loss and 331 body contouring patients. To develop the Stretch Marks scale, we reexamined appearance codes from the original interviews. The scale was field tested in an international study. Rasch measurement theory (RMT) analysis was used to refine the scale and examine measurement properties. RESULTS The Stretch Marks scale was completed by 630 participants, who provided 774 assessments. After dropping 3 items, the data fit the Rasch model (P = 0.56). Items (eg, length, width, amount, location, up close) mapped out a well-targeted clinical hierarchy. All items had ordered thresholds and good item fit. There was no evidence of differential item functioning (bias) by gender, age group or language (English vs Danish). The scale evidenced high reliability (ie, person separation index = 0.94, Cronbach's alpha = 0.97). For construct validity, the mean score correlated with the total number of body areas with stretch marks, higher BMI before bariatric surgery, and other BODY-Q scales. CONCLUSIONS This scale could be used to measure the impact of innovative treatments for stretch marks. LEVEL OF EVIDENCE 4
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Affiliation(s)
- Lotte Poulsen
- OPEN, Odense Patient data Explorative Network, Odense University Hospital, Odense, Denmark
| | | | | | - Jens Ahm Sorensen
- Department of Plastic Surgery, Odense University Hospital, Odense, Denmark
| | - Michael Rose
- Department of Plastic Surgery, Hospital of Southwest Jutland, Esbjerg, Denmark
| | - Claus Bogh Juhl
- Department of Endocrinology, Hospital of Southwest Jutland, Esberg, Denmark
| | - Rene Klinkby Stoving
- Department of Endocrinology and the Psychiatric Services of Southern Denmark, Odense University Hospital and University of Southern Denmark, Odense, Denmark
| | - Alin Andries
- Department of Endocrinology, Hospital of Southwest Jutland, Esberg, Denmark
| | - Anne F Klassen
- Department of Pediatrics and Associate Member of the Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, ON, Canada
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65
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Fractional ablative carbon-dioxide laser treatment improves histologic and clinical aspects of striae gravidarum: A prospective open label paired study. J Am Acad Dermatol 2018; 79:363-364. [DOI: 10.1016/j.jaad.2017.12.041] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2017] [Revised: 12/13/2017] [Accepted: 12/17/2017] [Indexed: 11/19/2022]
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66
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Ferreira ACR, Guida ACP, Piccini AA, Parisi JR, Sousa LD. Galvano-puncture and dermabrasion for striae distensae: a randomized controlled trial. J COSMET LASER THER 2018; 21:39-43. [PMID: 29547019 DOI: 10.1080/14764172.2018.1444777] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
OBJECTIVE To assess the effects of galvano-puncture (GG) and dermabrasion (DG) in reducing striae distensae in the gluteal region of women. METHODS This randomized, controlled, single-blind clinical trial was conducted at the UNIFAL-MG. Participants were 48 female who had striae distensae alba in the gluteal region. They were randomly divided in GG; DG; and Control Group (CG). The length and width of the largest striae were measured (in millimeters) using a caliper. The same striae were assessed before and after treatment. Infrared thermography was performed in the gluteal region to assess local microcirculation. RESULTS Intragroup analysis showed a significant reduction in the dimension of the striae between baseline and treatment session 10 in the GG and DG groups. Between-group analysis revealed a reduction in the width and length of the striae for both the GG and DG groups, but there were no significant differences between the two groups. When compared to the CG and the DG group, the GG group had significant improvements, as shown by thermography. CONCLUSION Both GG and DG are effective in reducing striae length and width. However, only the thermography results showed significant differences between GG and control, and between GG and DG.
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Affiliation(s)
| | - Ana Cláudia Pereira Guida
- a Graduate in Physical Therapy , Federal University of Alfenas - UNIFAL-MG , Alfenas , Minas Gerais , Brazil
| | - Adriana Arruda Piccini
- a Graduate in Physical Therapy , Federal University of Alfenas - UNIFAL-MG , Alfenas , Minas Gerais , Brazil
| | - Júlia Risso Parisi
- b Master , Postgraduate Program in Physiotherapy - UFSCAR, São Carlos , São Paulo , Brazil
| | - Ligia de Sousa
- c Doctor , Post-Graduate Program in Rehabilitation Sciences - UNIFAL-MG , Alfenas , Minas Gerais , Brazil
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67
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Abstract
Striae distensae (SD), otherwise known as "stretchmarks," are a common presenting complaint, particularly in young healthy women. SD are hypothesized to form in a patient when the cross-linked collagen is "overstretched" and rupture of this collagen matrix causes the striae. Thus, many treatments work by increasing collagen synthesis. This review critically appraises the evidence to date for the treatment of SD, including both energy-based devices and topical treatments.
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Affiliation(s)
- Emily Forbat
- a Department of General medicine, Chelsea and Westminster Hospital , London , UK
| | - Firas Al-Niaimi
- b Dermatological Surgery & Laser Unit, St John's Institute of Dermatology, Guy's Hospital Cancer Centre , Guy's and St Thomas' NHS Foundation Trust , London , UK
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68
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Wang F, Calderone K, Do T, Smith N, Helfrich Y, Johnson T, Kang S, Voorhees J, Fisher G. Severe disruption and disorganization of dermal collagen fibrils in early striae gravidarum. Br J Dermatol 2018; 178:749-760. [DOI: 10.1111/bjd.15895] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/06/2017] [Indexed: 11/28/2022]
Affiliation(s)
- F. Wang
- Department of Dermatology; University of Michigan Medical School; Ann Arbor MI U.S.A
| | - K. Calderone
- Department of Dermatology; University of Michigan Medical School; Ann Arbor MI U.S.A
| | - T.T. Do
- Department of Dermatology; University of Michigan Medical School; Ann Arbor MI U.S.A
| | - N.R. Smith
- Department of Dermatology; University of Michigan Medical School; Ann Arbor MI U.S.A
| | - Y.R. Helfrich
- Department of Dermatology; University of Michigan Medical School; Ann Arbor MI U.S.A
| | - T.R.B. Johnson
- Department of Obstetrics and Gynecology; University of Michigan Medical School; Ann Arbor MI U.S.A
| | - S. Kang
- Department of Dermatology; University of Michigan Medical School; Ann Arbor MI U.S.A
| | - J.J. Voorhees
- Department of Dermatology; University of Michigan Medical School; Ann Arbor MI U.S.A
| | - G.J. Fisher
- Department of Dermatology; University of Michigan Medical School; Ann Arbor MI U.S.A
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Lung PW, Tippavajhala VK, de Oliveira Mendes T, Téllez-Soto CA, Schuck DC, Brohem CA, Lorencini M, Martin AA. In vivo study of dermal collagen of striae distensae by confocal Raman spectroscopy. Lasers Med Sci 2018; 33:609-617. [PMID: 29308552 DOI: 10.1007/s10103-017-2431-3] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2016] [Accepted: 12/26/2017] [Indexed: 11/29/2022]
Abstract
This research work mainly deals with studying qualitatively the changes in the dermal collagen of two forms of striae distensae (SD) namely striae rubrae (SR) and striae albae (SA) when compared to normal skin (NS) using confocal Raman spectroscopy. The methodology includes an in vivo human skin study for the comparison of confocal Raman spectra of dermis region of SR, SA, and NS by supervised multivariate analysis using partial least squares discriminant analysis (PLS-DA) to determine qualitatively the changes in dermal collagen. These groups are further analyzed for the extent of hydration of dermal collagen by studying the changes in the water content bound to it. PLS-DA score plot showed good separation of the confocal Raman spectra of dermis region into SR, SA, and NS data groups. Further analysis using loading plot and S-plot indicated the participation of various components of dermal collagen in the separation of these groups. Bound water content analysis showed that the extent of hydration of collagen is more in SD when compared to NS. Based on the results obtained, this study confirms the active involvement of dermal collagen in the formation of SD. It also emphasizes the need to study quantitatively the role of these various biochemical changes in the dermal collagen responsible for the variance between SR, SA, and NS.
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Affiliation(s)
- Pam Wen Lung
- Institute of Research and Development (IP&D), Universidade do Vale do Paraiba (UNIVAP), Av. Shishima Hifumi, 2911, Urbanova, São José dos Campos, SP, CEP: 12244-000, Brazil
| | - Vamshi Krishna Tippavajhala
- Department of Pharmaceutics, Manipal College of Pharmaceutical Sciences, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India.
| | - Thiago de Oliveira Mendes
- Biomedical Engineering Innovation Center, Biomedical Vibrational Spectroscopy Group, Universidade Brasil-UNBr, Rua Carolina Fonseca, 235-08230-030, Itaquera, Sao Paulo, Brazil
| | - Claudio A Téllez-Soto
- Biomedical Engineering Innovation Center, Biomedical Vibrational Spectroscopy Group, Universidade Brasil-UNBr, Rua Carolina Fonseca, 235-08230-030, Itaquera, Sao Paulo, Brazil
| | - Desirée Cigaran Schuck
- Grupo O Boticário, Av. Rui Barbosa, 4.110, Parque da Fonte, São José dos Pinhais, PR, CEP: 83050-010, Brazil
| | - Carla Abdo Brohem
- Grupo O Boticário, Av. Rui Barbosa, 4.110, Parque da Fonte, São José dos Pinhais, PR, CEP: 83050-010, Brazil
| | - Marcio Lorencini
- Grupo O Boticário, Av. Rui Barbosa, 4.110, Parque da Fonte, São José dos Pinhais, PR, CEP: 83050-010, Brazil
| | - Airton Abrahão Martin
- Biomedical Engineering Innovation Center, Biomedical Vibrational Spectroscopy Group, Universidade Brasil-UNBr, Rua Carolina Fonseca, 235-08230-030, Itaquera, Sao Paulo, Brazil. .,Departmento de Fisica, Universidade Federal do Piaui (UFPI), Campus Ministro Petronio Portella, Teresina, PI, CEP: 64049-550, Brazil.
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70
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Boozalis E, Grossberg AL, Puttgen KB, Heath CR, Cohen BA. Demographic characteristics of teenage boys with horizontal striae distensae of the lower back. Pediatr Dermatol 2018; 35:59-63. [PMID: 29159996 DOI: 10.1111/pde.13329] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
BACKGROUND This study examines the clinical characteristics and demographics of teenage boys with horizontal striae distensae of the lower back in an outpatient setting. METHODS Retrospective medical chart reviews and telephone survey studies were completed on an outpatient cohort of 12 boys 11 to 17 years of age with a clinical diagnosis of transverse striae distensae of the lower back at a single-center, university-based, pediatric dermatology practice. We evaluated the clinical features of the striae, participant demographic characteristics, and past medical history. A review of the literature concerning risk factors was conducted using PubMed and Google Scholar. RESULTS Of the 14 patients we contacted, 12 agreed to participate. The average age of onset for the striae was 14.3 years. All boys were above the 50th percentile in height at the time of onset. Eight (66.7%) reported a significant growth spurt before the appearance of the stretch marks. Most were asymptomatic. None of the boys had a history of unmonitored exogenous steroid use or prior infection with Bartonella henselae or Borrelia burgdorferi. Only one (8.3%) had a chronic medical condition. Eleven (91.7%) had at least one first-degree relative with striae distensae. CONCLUSION 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. There is no association between this type of striae distensae and any chronic medical condition, bacterial infection, or exogenous steroid use. Thus a careful review of systems and counseling without further medical testing is reasonable management.
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Affiliation(s)
- Emily Boozalis
- Department of Dermatology, School of Medicine, Johns Hopkins University, Baltimore, MD, USA
| | - Anna L Grossberg
- Department of Dermatology, School of Medicine, Johns Hopkins University, Baltimore, MD, USA
| | - Katherine B Puttgen
- Department of Dermatology, School of Medicine, Johns Hopkins University, Baltimore, MD, USA
| | - Candrice R Heath
- Department of Dermatology, School of Medicine, Johns Hopkins University, Baltimore, MD, USA
| | - Bernard A Cohen
- Department of Dermatology, School of Medicine, Johns Hopkins University, Baltimore, MD, USA
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71
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Tehranchinia Z, Mahboubianfar A, Rahimi H, Saedi N. Fractionated CO 2 Laser in the Treatment of Striae Alba in Darker Skinned Patients - A Prospective Study. J Lasers Med Sci 2017; 9:15-18. [PMID: 29399305 DOI: 10.15171/jlms.2018.04] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Introduction: In recent years, the positive effect of fractional CO2 laser on increasing collagen fibers, and consequently its effect on treating striae has been suggested. The present study aims to assess the effectiveness of CO2 fractional laser 10600-nm in the treatment of striae alba. Methods: In this prospective clinical trial, 2 treatment sessions of fractional CO2 laser with 4-week interval was given to 30 patients with striae alba. Cutaneous resonance running time (CRRT) was measured at baseline and at week 4 and 3 months after the last session of laser therapy. The level of improvement was assessed by 2 independent dermatologists and patients after 3 months of follow up. Results: 16.7% of patients had moderate improvement, 63.3% had minimal improvement, and 20% had no improvement. A statistical significant difference was found in median CRRT during the study (P < 0.0001). The median CRRT levels were significantly higher in week 4 and 3 months after the last treatment compared to the baseline (both P < 0.001). Likewise, a significant increase was observed in median CRRT level from week 4 till the end of study (P < 0.001). Evaluation of participant satisfaction revealed that 10% were very satisfied, 10% satisfied, 3.3% slightly satisfied, and 76.7% unsatisfied. Conclusion: Striae alba remain a challenging condition to treat. The treatment of striae alba with CO2 fractional laser results in minimal improvement with mild side effects.
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Affiliation(s)
- Zohreh Tehranchinia
- Skin Research Center, Shahid Behehshti University of Medical Sciences, Tehran, Iran
| | | | - Hoda Rahimi
- Skin Research Center, Shahid Behehshti University of Medical Sciences, Tehran, Iran
| | - Nazanin Saedi
- Department of Dermatology, Thomas Jefferson University, Philadelphia, PA, USA
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72
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Bielfeldt S, Blaak J, Staib P, Simon I, Wohlfart R, Manger C, Wilhelm KP. Observer-blind randomized controlled study of a cosmetic blend of safflower, olive and other plant oils in the improvement of scar and striae appearance. Int J Cosmet Sci 2017; 40:81-86. [DOI: 10.1111/ics.12438] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2017] [Accepted: 10/25/2017] [Indexed: 12/21/2022]
Affiliation(s)
- S. Bielfeldt
- proDERM; Institute for Applied Dermatological Research GmbH; Kiebitzweg 2 Schenefeld/Hamburg DE 22869 Germany
| | - J. Blaak
- Kneipp GmbH, Research & Development; Winterhäuser Str. 85 Würzburg DE 97084 Germany
| | - P. Staib
- Kneipp GmbH, Research & Development; Winterhäuser Str. 85 Würzburg DE 97084 Germany
| | - I. Simon
- Kneipp GmbH, Research & Development; Winterhäuser Str. 85 Würzburg DE 97084 Germany
| | - R. Wohlfart
- Kneipp GmbH, Research & Development; Winterhäuser Str. 85 Würzburg DE 97084 Germany
| | - C. Manger
- proDERM; Institute for Applied Dermatological Research GmbH; Kiebitzweg 2 Schenefeld/Hamburg DE 22869 Germany
| | - K. P. Wilhelm
- proDERM; Institute for Applied Dermatological Research GmbH; Kiebitzweg 2 Schenefeld/Hamburg DE 22869 Germany
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73
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Heuberger K, Karger B, Schulz R, Wittschieber D. Striae distensae. Rechtsmedizin (Berl) 2017. [DOI: 10.1007/s00194-017-0208-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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74
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Calcium Hydroxylapatite Combined with Microneedling and Ascorbic Acid is Effective for Treating Stretch Marks. PLASTIC AND RECONSTRUCTIVE SURGERY-GLOBAL OPEN 2017; 5:e1474. [PMID: 29062646 PMCID: PMC5640351 DOI: 10.1097/gox.0000000000001474] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2017] [Accepted: 07/10/2017] [Indexed: 11/29/2022]
Abstract
Background: Stretch marks can have a negative psychological impact on some individuals. Methods are available for treating stretch marks, but high-quality evidence supporting their use is limited. We treat stretch marks using injections of diluted calcium hydroxylapatite (CaHA, Radiesse) filler combined with microneedling and topical ascorbic acid. This retrospective study evaluated the effectiveness of this combined therapy. Methods: Subjects presented with red (n = 25) or white (n = 10) striae on their buttocks, thighs, knees, abdomen, and breasts. CaHA filler was diluted 1:1 with lidocaine 2% without epinephrine. A maximum of 3.0 mL of filler was injected per patient at all skin depths using a 23G needle. This was immediately followed by microneedling and topical application of 20% ascorbic acid. Microneedling with ascorbic acid was repeated after 1 and 2 months. Skin biopsies were obtained from a patient who later underwent abdominoplasty. Results: The mean (±SD) pretreatment Manchester Scar Scale scores were 12.0 (±0.8), decreasing to 7.1 (±1.4) 1 month after the final treatment, indicating improvement in stretch mark appearance (P < 0.001). Subjects were very satisfied (n = 22; 62.9%), satisfied (n = 8; 22.9%), neither satisfied nor dissatisfied (n = 4; 11.4%), or unsatisfied (n = 1; 2.8%) with their treatment results. Analysis revealed a significant correlation between Scar Scale scores and Patient Satisfaction scores (r = 0.483; P = 0.003). Skin biopsies showed increased quantity and quality of collagen and elastin fibers in areas treated with combination therapy. Procedures were well tolerated. Conclusion: Combining 1:1 diluted CaHA with microneedling and topical ascorbic is safe and effective for treating stretch marks.
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75
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Affiliation(s)
- Maria Jogova
- Department of Medicine (Jogova, Hwang), University of Toronto; Centre for Urban Health Solutions (Hwang), St. Michael's Hospital, Toronto, Ont.
| | - Stephen W Hwang
- Department of Medicine (Jogova, Hwang), University of Toronto; Centre for Urban Health Solutions (Hwang), St. Michael's Hospital, Toronto, Ont
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76
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Silverberg NB, Durán-McKinster C. Special Considerations for Therapy of Pediatric Atopic Dermatitis. Dermatol Clin 2017; 35:351-363. [DOI: 10.1016/j.det.2017.02.008] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
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77
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Tang-Lin L, Liew HM, Koh MJ, Allen JC, Tan TC. Prevalence of striae gravidarum in a multi-ethnic Asian population and the associated risk factors. Australas J Dermatol 2017; 58:e154-e155. [PMID: 28664533 DOI: 10.1111/ajd.12532] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- Lydia Tang-Lin
- Department of Obstetrics and Gynaecology, KK Women's and Children's Hospital, Singapore
| | - Hui M Liew
- Dermatology Service, KK Women's and Children's Hospital, Singapore
| | - Mark Ja Koh
- Dermatology Service, KK Women's and Children's Hospital, Singapore
| | | | - Thiam C Tan
- Department of Obstetrics and Gynaecology, KK Women's and Children's Hospital, Singapore
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78
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Gokalp H. Long-term results of the treatment of pregnancy-induced striae distensae using a 1550-nm non-ablative fractional laser. J COSMET LASER THER 2017; 19:378-382. [DOI: 10.1080/14764172.2017.1342040] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- Hilal Gokalp
- Department of Dermatology, Koc University School of Medicine, Istanbul, Turkey
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79
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McLachlan I, Visser WI, Jordaan HF. Skin conditions in a South African tuberculosis hospital: Prevalence, description, and possible associations. Int J Dermatol 2017; 55:1234-1241. [PMID: 27419379 DOI: 10.1111/ijd.13355] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/04/2015] [Revised: 01/20/2016] [Accepted: 03/20/2016] [Indexed: 12/17/2022]
Abstract
BACKGROUND The current pandemic of tuberculosis (TB) and human immunodeficiency virus (HIV) co-infection, the modern era of antiretroviral therapy, and the rising incidence of multidrug-resistant TB have led to a broader spectrum of skin conditions in patients hospitalized with TB. These factors also influence investigations into possible causal relationships with TB. OBJECTIVES The aim of this study was to describe mucocutaneous conditions found in patients hospitalized with TB and to report associated factors. METHODS A cross-sectional observational study examining the spectrum of skin manifestations found in 105 patients hospitalized with TB was conducted. All relevant demographic and clinical data were collected. Possible associations were evaluated by making use of statistical analysis. RESULTS Seventy-four (70%) of the investigated population were HIV-positive, and 46 (44%) patients were being treated for drug-resistant TB. The most prevalent dermatosis was xerosis (n = 83, 79%), followed by oral candidiasis (n = 33, 31%) and scars (n = 33, 31%), finger clubbing (n = 31, 29%), leukonychia (n = 29, 28%), striae (n = 25, 24%), and facial hyperpigmentation (n = 22, 21%). Anemia was detected in 90 (86%) patients, and 75 (71%) were classified as being underweight. Three patients were diagnosed with cutaneous TB. CONCLUSIONS Patients hospitalized with TB have on average four different dermatoses, but xerosis remains the leading dermatological finding, irrespective of HIV status or TB drug sensitivity. Anemia and malnutrition are associated with numerous skin conditions found in this population. The prevalence of cutaneous TB among patients hospitalized with TB remains low, despite the high rate of TB and HIV co-infection.
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Affiliation(s)
- Iréne McLachlan
- Division of Dermatology, Department of Medicine, University of Stellenbosch and Tygerberg Academic Hospital, Tygerberg, Cape Town, South Africa.
| | - Willem I Visser
- Division of Dermatology, Department of Medicine, University of Stellenbosch and Tygerberg Academic Hospital, Tygerberg, Cape Town, South Africa
| | - H Francois Jordaan
- Division of Dermatology, Department of Medicine, University of Stellenbosch and Tygerberg Academic Hospital, Tygerberg, Cape Town, South Africa
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80
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Hague A, Bayat A. Therapeutic targets in the management of striae distensae: A systematic review. J Am Acad Dermatol 2017; 77:559-568.e18. [PMID: 28551068 DOI: 10.1016/j.jaad.2017.02.048] [Citation(s) in RCA: 38] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2016] [Revised: 02/14/2017] [Accepted: 02/19/2017] [Indexed: 10/19/2022]
Abstract
BACKGROUND Striae distensae are permanent dermal lesions that can cause significant psychosocial distress. A detailed understanding of the numerous treatment modalities available is essential to ensuring optimal patient outcomes. OBJECTIVE Our objective was to evaluate and summarize the different treatment methods for striae distensae by linking their proposed modes of action with the histopathogenesis of the condition to guide patient treatment. METHODS A systematic review of the literature was performed with no limits placed on publication date. Relevant studies were assigned a level of evidence by the authors. RESULTS Ninety-two articles were identified, with 74 being eligible for quality assessment. The majority of treatments aim to increase collagen production. The use of vascular lasers can reduce erythema in striae rubrae by targeting hemoglobin, whereas increasing melanin through methods such as ultraviolet light is a major focus for treatment of striae albae. Despite some topical treatments being widely used, uncertainty regarding their mode of action remains. No treatment has proved to be completely effective. LIMITATIONS Limitations of the study include low-quality evidence, small sample sizes, and varying treatment protocols and outcome measures, along with concerns regarding publication bias. CONCLUSIONS Further randomized, controlled trials are needed before definitive conclusions and recommendations can be made.
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Affiliation(s)
- Adam Hague
- Centre for Dermatological Research, University of Manchester, Manchester, United Kingdom
| | - Ardeshir Bayat
- Centre for Dermatological Research, University of Manchester, Manchester, United Kingdom.
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81
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Leung AKC, Barankin B. Physiological Striae Atrophicae of Adolescence with Involvement of the Axillae and Proximal Arms. Case Rep Pediatr 2017; 2017:7678086. [PMID: 28593064 PMCID: PMC5448039 DOI: 10.1155/2017/7678086] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2017] [Revised: 04/19/2017] [Accepted: 04/27/2017] [Indexed: 11/23/2022] Open
Abstract
We report a 16-year-old adolescent male with multiple violaceous, atrophic, vertical linear striae isolated to the axillae and proximal arms of approximately one-year duration. In the past two years, he indulged in heavy weight-lifting. He experienced a growth spurt over the past few years. The patient was otherwise in good health and was not on any medications. Physiological striae atrophicae of adolescence where the striae were restricted to the axillae and proximal arms have very rarely been reported.
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Affiliation(s)
- Alexander K. C. Leung
- Department of Pediatrics, The University of Calgary, Calgary, AB, Canada
- The Alberta Children's Hospital, Calgary, AB, Canada T2M 0H5
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82
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Striae Distensae: Preventative and Therapeutic Modalities to Improve Aesthetic Appearance. Dermatol Surg 2017; 43:635-648. [DOI: 10.1097/dss.0000000000001079] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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83
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Youssef SES, El-Khateeb EA, Aly DG, Moussa MH. Striae distensae: Immunohistochemical assessment of hormone receptors in multigravida and nulligravida. J Cosmet Dermatol 2017; 16:279-286. [PMID: 28374517 DOI: 10.1111/jocd.12337] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/01/2017] [Indexed: 01/11/2023]
Abstract
BACKGROUND Striae distensae (SD), a type of dermal scarring, are psychologically disappointing. To date, information and scientific research behind the role of hormonal factors in the development of SD are still unclear. It is vital to understand striae to offer patients the best therapeutic options. OBJECTIVES To investigate early alterations regarding the expression of estrogen, androgen, and glucocorticoid receptors (estrogen receptor (ER), androgen receptor (AR), glucocorticoid receptor (GR) in skin samples of multigravida (MG) and nulligravida (NG) cases and to compare them with normal controls. METHODS This study included 30 subjects (10 MG and 10 NG cases with early SD and 10 healthy controls). Biopsies from SD lesions, perilesional normal skin of cases and normal skin of controls were examined immunohistochemically for ER, AR, and GR expression using immune peroxidase technique. RESULTS Comparing MG and NG with controls, ER expression appeared reduced in MG and NG (P-value<.001), AR was elevated in MG (P-value<.05) with no considerable difference in NG (P-value>.05), while GR was elevated in both MG and NG (P-value<.05). On comparing perilesional skin with SD lesions in each of MG and NG groups, SD lesions revealed reduced ER expression in both groups (P-value<.05), whereas in MG group: AR expression was elevated with no difference detected regarding GR (P-value˃.05); meanwhile in NG, elevated expression in both AR and GR expression was noted (P-Value<.001) CONCLUSIONS: Striae distansae lesions demonstrated a significant increase in the expression of AR and GR and a declined expression of ER indicating their involvement in the development of early SD.
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Affiliation(s)
- Sahar El Sayed Youssef
- Department of Dermatology, Venereology and Andrology, Ain Shams University, Cairo, Egypt
| | | | - Dalia Gamal Aly
- Department of Dermatology and Venereology, National Research Centre, Giza, Egypt
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84
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Bogdan C, Iurian S, Tomuta I, Moldovan M. Improvement of skin condition in striae distensae: development, characterization and clinical efficacy of a cosmetic product containing Punica granatum seed oil and Croton lechleri resin extract. Drug Des Devel Ther 2017; 11:521-531. [PMID: 28280300 PMCID: PMC5338857 DOI: 10.2147/dddt.s128470] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Striae distensae are a frequent skin condition associated with pregnancy, weight change or lack of skin elasticity. The aim of this research was to obtain a topical product containing herbal active ingredients with documented antioxidant and anti-inflammatory activity (Punica granatum seed oil and Croton lechleri resin extract) and demonstrate its positive effect on prevention and treatment of striae distensae. First, the cream base formulation was optimized through experimental design. Secondly, the cream containing the two active ingredients was investigated in an interventional nonrandomized clinical trial. The clinical outcome was assessed through biophysical parameters and ultrasonographic evaluation. The state of the skin was evaluated by biophysical measurements and ultrasonography at the beginning of the study and after 3 and 6 weeks. The experimental design was successfully used to set the best ranges for the technological and formulation factors to obtain a cosmetic formulation with optimal characteristics. The study of clinical efficacy on the optimal formulation revealed an increase in the dermis thickness, hydration and elasticity values in both groups after 6 weeks of cream application. The new oil-in-water cream containing P. granatum seed oil and C. lechleri resin extract can be helpful in the prevention or improving of skin changes associated with striae.
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Affiliation(s)
| | - Sonia Iurian
- Department of Pharmaceutical Technology and Biopharmacy, Faculty of Pharmacy, University of Medicine and Pharmacy Iuliu Haţieganu, Cluj-Napoca, Romania
| | - Ioan Tomuta
- Department of Pharmaceutical Technology and Biopharmacy, Faculty of Pharmacy, University of Medicine and Pharmacy Iuliu Haţieganu, Cluj-Napoca, Romania
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85
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Abstract
Stretch marks are one of the most common benign cutaneous lesions and encountered esthetic problems. Striae rubrae and striae albae can be differentiated on the basis of clinical appearance. Histologically, disturbances of the dermal fiber network and local expression of receptors for sexual steroids have been detected. The epidermal changes are secondary. Prevention of stretch marks using topical ointments and oils is debatable. Treatment of striae rubrae by lasers and light devices improves appearance. Microneedling and non-ablative and fractionated lasers have been used. This review provides an overview on current treatment options with a special focus on laser treatments.
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Affiliation(s)
- Uwe Wollina
- Department of Dermatology and Allergology, Academic Teaching Hospital Dresden, Dresden, Germany
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86
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Blume-Peytavi U, Tan J, Tennstedt D, Boralevi F, Fabbrocini G, Torrelo A, Soares-Oliveira R, Haftek M, Rossi AB, Thouvenin MD, Mangold J, Galliano MF, Hernandez-Pigeon H, Aries MF, Rouvrais C, Bessou-Touya S, Duplan H, Castex-Rizzi N, Mengeaud V, Ferret PJ, Clouet E, Saint Aroman M, Carrasco C, Coutanceau C, Guiraud B, Boyal S, Herman A, Delga H, Biniek K, Dauskardt R. Fragility of epidermis in newborns, children and adolescents. J Eur Acad Dermatol Venereol 2016; 30 Suppl 4:3-56. [PMID: 27062556 DOI: 10.1111/jdv.13636] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2015] [Revised: 02/10/2016] [Accepted: 02/17/2016] [Indexed: 12/18/2022]
Abstract
Within their first days of life, newborns' skin undergoes various adaptation processes needed to accommodate the transition from the wet uterine environment to the dry atmosphere. The skin of newborns and infants is considered as a physiological fragile skin, a skin with lower resistance to aggressions. Fragile skin is divided into four categories up to its origin: physiological fragile skin (age, location), pathological fragile skin (acute and chronic), circumstantial fragile skin (due to environmental extrinsic factors or intrinsic factors such as stress) and iatrogenic fragile skin. Extensive research of the past 10 years have proven evidence that at birth albeit showing a nearly perfect appearance, newborn skin is structurally and functionally immature compared to adult skin undergoing a physiological maturation process after birth at least throughout the first year of life. This article is an overview of all known data about fragility of epidermis in 'fragile populations': newborns, children and adolescents. It includes the recent pathological, pathophysiological and clinical data about fragility of epidermis in various dermatological diseases, such as atopic dermatitis, acne, rosacea, contact dermatitis, irritative dermatitis and focus on UV protection.
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Affiliation(s)
- U Blume-Peytavi
- Department of Dermatology and Allergy, Clinical Research Center for Hair and Skin Science, Charité-Universitätsmedizin, Berlin, Germany
| | - J Tan
- Department of Medicine, Faculty of Medicine, Schulich School of Medicine and Dentistry, Western University, Windsor campus, Windsor, ON, Canada.,Windsor Clinical Research Inc., Windsor campus, Windsor, ON, Canada
| | - D Tennstedt
- Department of Dermatology, Saint-Luc University Clinics, Brussels, Belgium
| | - F Boralevi
- Pediatric Dermatology, Pellegrin Hospital, Bordeaux, France
| | - G Fabbrocini
- Department of Dermatology, University Hospital of Naples, Naples, Italy
| | - A Torrelo
- Pediatric Dermatology, Hospital del Niño Jesús, Madrid, Spain
| | | | - M Haftek
- University Lyon 1, Lyon, France.,University Lyon 1, EA4169, "Fundamental, clinical and therapeutic aspects of the skin barrier function", Lyon, France
| | - A B Rossi
- Pierre Fabre Dermo-Cosmétique Research & Development, Clinical Division, Toulouse, France.,Department of Dermatology, Toulouse University hospital, France
| | - M D Thouvenin
- Pierre Fabre Dermo-Cosmétique Research & Development, Clinical Division, Toulouse, France
| | - J Mangold
- Pierre Fabre Dermo-Cosmétique Research & Development, Clinical Division, Toulouse, France
| | - M F Galliano
- Pierre Fabre Dermo-Cosmétique Research & Development, Clinical Division, Toulouse, France.,Pierre Fabre Dermo-Cosmétique Research and Development Center, Pharmacology Division, Toulouse, France.,Pierre Fabre Dermo-Cosmétique, Pierre Fabre Research and Development Center, Pharmacology Division, Toulouse, France
| | - H Hernandez-Pigeon
- Pierre Fabre Dermo-Cosmétique Research & Development, Clinical Division, Toulouse, France.,Pierre Fabre Dermo-Cosmétique, Pierre Fabre Research and Development Center, Pharmacology Division, Toulouse, France
| | - M F Aries
- Pierre Fabre Dermo-Cosmétique Research and Development Center, Pharmacology Division, Toulouse, France.,Pierre Fabre Dermo-Cosmétique, Pierre Fabre Research and Development Center, Pharmacology Division, Toulouse, France
| | - C Rouvrais
- Pierre Fabre Dermo-Cosmétique Research & Development, Clinical Division, Toulouse, France
| | - S Bessou-Touya
- Pierre Fabre Dermo-Cosmétique Research & Development, Clinical Division, Toulouse, France.,Pierre Fabre Dermo-Cosmétique Research and Development Center, Pharmacology Division, Toulouse, France.,Medical Department, Pierre Fabre Research and Laboratoires Dermatologiques A-Derma, Lavaur, France.,Pierre Fabre Dermo-Cosmétique, Pierre Fabre Research and Development Center, Pharmacology Division, Toulouse, France
| | - H Duplan
- Pierre Fabre Dermo-Cosmétique Research & Development, Clinical Division, Toulouse, France.,Pierre Fabre Dermo-Cosmétique Research and Development Center, Pharmacology Division, Toulouse, France.,Pierre Fabre Dermo-Cosmétique, Pierre Fabre Research and Development Center, Pharmacology Division, Toulouse, France
| | - N Castex-Rizzi
- Pierre Fabre Dermo-Cosmétique Research & Development, Clinical Division, Toulouse, France.,Pierre Fabre Dermo-Cosmétique Research and Development Center, Pharmacology Division, Toulouse, France.,Pierre Fabre Dermo-Cosmétique, Pierre Fabre Research and Development Center, Pharmacology Division, Toulouse, France
| | - V Mengeaud
- Pierre Fabre Dermo-Cosmétique Research & Development, Clinical Division, Toulouse, France.,Pierre Fabre Dermo-Cosmétique Research and Development Center, Pharmacology Division, Toulouse, France
| | - P J Ferret
- Pierre Fabre Dermo-Cosmétique Research & Development, Toxicology Division, Vigoulet-Auzil, France.,Pierre Fabre Dermo-Cosmétique Research & Developement Center, Toxicology division, Vigoulet, France
| | - E Clouet
- Pierre Fabre Dermo-Cosmétique Research & Development, Toxicology Division, Vigoulet-Auzil, France.,Pierre Fabre Dermo-Cosmétique Research & Developement Center, Toxicology division, Vigoulet, France
| | | | - C Carrasco
- Pierre Fabre Dermo-Cosmétique Research & Development, Clinical Division, Toulouse, France.,Pierre Fabre Dermo-Cosmétique Research and Development Center, Pharmacology Division, Toulouse, France.,Pierre Fabre Dermo-Cosmétique, Pierre Fabre Research and Development Center, Pharmacology Division, Toulouse, France
| | - C Coutanceau
- Medical Department, Pierre Fabre Research and Laboratoires Dermatologiques A-Derma, Lavaur, France
| | - B Guiraud
- Pierre Fabre Dermo-Cosmétique Research & Development, Clinical Division, Toulouse, France
| | - S Boyal
- Windsor Clinical Research Inc., Windsor campus, Windsor, ON, Canada
| | - A Herman
- Department of Dermatology, Saint-Luc University Clinics, Brussels, Belgium
| | - H Delga
- Pierre Fabre Dermo-Cosmétique, Pierre Fabre Research and Development Center, Pharmacology Division, Toulouse, France
| | - K Biniek
- Department of Materials Science and Engineering, Stanford University hospital, Stanford, CA, USA
| | - R Dauskardt
- Department of Materials Science and Engineering, Stanford University hospital, Stanford, CA, USA
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87
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88
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Ozturk P, Kıran H, Kurutas EB, Mulayim K, Avcı F. Serum collagenase-2 and BMI levels in pregnant women with striae gravidarum. J Cosmet Dermatol 2016; 16:416-420. [PMID: 27605330 DOI: 10.1111/jocd.12269] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/03/2016] [Indexed: 11/29/2022]
Abstract
OBJECTIVE Striae gravidarum is a form of scarring on the skin observed during pregnancy and can cause serious cosmetic problems. Striae gravidarum may be influenced by hormonal changes, although the etiology is not clear. The aim of this study was to investigate whether body mass index (BMI) and serum collagenase-2 levels in pregnant women are related to the development of striae gravidarum. METHODS Thirty pregnant women with striae, 30 pregnant women without striae, and 32 health controls were enrolled in the study. RESULTS BMI and serum collagenase-2 levels were measured in the participants. CONCLUSION Pregnant women with striae gravidarum had increased serum collagenase-2 and BMI levels when compared to pregnant women without striae gravidarum and healthy controls (P < 0.05). The increase in serum collagenase-2 levels was related to the development of striae gravidarum alone, or secondary to BMI increase.
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Affiliation(s)
- Perihan Ozturk
- Department of Dermatology, Medical Faculty, KSU, Kahramanmaras, Turkey
| | - Hakan Kıran
- Department of Obstetrics, Medical Faculty, KSU, Maternal-Foetal Medicine Unit, Kahramanmaras, Turkey
| | | | - Kamil Mulayim
- Department of Dermatology, Medical Faculty, KSU, Kahramanmaras, Turkey
| | - Fazıl Avcı
- Department of Obstetrics, Medical Faculty, KSU, Maternal-Foetal Medicine Unit, Kahramanmaras, Turkey
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89
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Comparative study between microneedling alone and microneedling combined with platelet-rich plasma in the treatment of striae distensae using clinical and histopathological assessment. JOURNAL OF THE EGYPTIAN WOMEN’S DERMATOLOGIC SOCIETY 2016. [DOI: 10.1097/01.ewx.0000481052.82255.e4] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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90
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Karia UK, Padhiar BB, Shah BJ. Evaluation of Various Therapeutic Measures in Striae Rubra. J Cutan Aesthet Surg 2016; 9:101-5. [PMID: 27398011 PMCID: PMC4924406 DOI: 10.4103/0974-2077.184056] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
Background: Striae are linear atrophic depressions that form in areas of dermal damage in the skin. As on date, no consensus or protocol exists for the treatment of stria rubra. Topical retinoids, chemical peels, microdermabrasion, radiofrequency, photothermolysis, intense pulsed light and lasers are some of the modalities used. Aims and Objective: To compare the efficacy of various therapeutic modalities in striae rubra. Methods: This prospective cohort study comprised of a total of fifty patients from August-2012 to October-2013 in a tertiary care center in Western India, Gujarat having striae rubra. They were randomly divided into five groups of ten patients each. Patients were evaluated on the basis of visual assessment, both by doctor as well as the patient. Group I was given topical tretinoin (0.1% w/w) gel applied once at night, Group II-microdermabrasion (MDA) combined with trichloroacetic acid (TCA) (30%) peel, Group III-mesotherapy, Group IV-Q-switched Nd: YAG laser, and Group V-combination treatment of microdermabrasion, salicylic acid peel and retinol (yellow) peel. Patients were treated at an interval of 15 days for 2 months and then at monthly intervals. Objective assessment was done at 2nd month, 6th month, and at the end of 1st year. Results: Patients in Group I treated with topical tretinoin showed the least response with 80% (8) of them showing minimal clinical improvement (0–25%) as compared to patients in Group V in which 60% (6) patients showed moderate clinical improvement (50–75%). While majority of the patients in Group II, III, and IV showed mild clinical improvement (25–50%). Conclusions: Striae rubra is a common cause of concern for adolescent population. Combination treatment with microdermabrasion, salicylic acid and retinol yellow peel gave superior results as compared to other therapeutic options. Mild to moderate improvement was seen with Nd: YAG laser, mesotherapy and MDA + TCA whereas minimal improvement were seen with topical tretinoin.
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91
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Nassar A, Ghomey S, El Gohary Y, El-Desoky F. Treatment of striae distensae with needling therapy versus microdermabrasion with sonophoresis. J COSMET LASER THER 2016; 18:330-4. [DOI: 10.1080/14764172.2016.1175633] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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92
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Aldahan AS, Shah VV, Mlacker S, Samarkandy S, Alsaidan M, Nouri K. Laser and Light Treatments for Striae Distensae: A Comprehensive Review of the Literature. Am J Clin Dermatol 2016; 17:239-56. [PMID: 26923916 DOI: 10.1007/s40257-016-0182-8] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
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. 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. There currently exists no reliable treatment option, though numerous topical applications have been attempted. Lasers and light represent emerging noninvasive therapies that have demonstrated some success targeting vascular chromophores in striae rubra and stimulating collagen and elastin production in striae alba. An extensive literature review was performed to gather all available articles studying laser and light treatments for SD. Lasers and light can significantly improve the appearance of both striae rubra and striae alba. Generally, striae rubra are more responsive to therapy and can be treated successfully with a variety of lasers without major adverse effects. Fractional lasers exhibit the strongest results for striae alba repigmentation and collagen induction, and several other lasers produce temporary repigmentation. Lasers in combination with other modalities such as topical agents and additional energy devices have also demonstrated promising preliminary results; however, large comparative studies are necessary to validate these outcomes.
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93
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Danesh M, Pomeranz MK, McMeniman E, Murase JE. Dermatoses of pregnancy: Nomenclature, misnomers, and myths. Clin Dermatol 2016; 34:314-9. [PMID: 27265068 DOI: 10.1016/j.clindermatol.2016.02.002] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
The most recent reclassification of dermatoses of pregnancy includes polymorphic eruption of pregnancy, atopic eruption of pregnancy, and pemphigoid gestationis; intrahepatic cholestasis of pregnancy, strictly not a dermatosis, was included in specific dermatoses of pregnancy for working purposes. Another dermatosis, pustular psoriasis of pregnancy, could be included for similar reasons. The nomenclature of these pregnancy-specific eruptions has been revised several times, generating potential confusion among practitioners. Clouding the picture further are misnomers that have been used to describe dermatoses of pregnancy. In addition, several cutaneous conditions that are associated with, but not specific to, pregnancy, have been misunderstood, which has resulted in certain myths among patients and physicians. In this contribution, we describe how the nomenclature of each dermatosis of pregnancy has evolved to fit the current classification scheme. We then identify several misnomers that have generated confusion within the scheme. Finally, we debunk several myths that have developed around cutaneous conditions outside of this scheme, in both mother and newborn.
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Affiliation(s)
- Melissa Danesh
- Department of Dermatology, University of California School of Medicine, San Francisco, California
| | - Miriam Keltz Pomeranz
- The Ronald O. Perelman Department of Dermatology, New York University Langone Medical Center, New York, New York
| | - Erin McMeniman
- Department of Dermatology, Princess Alexandra Hospital, Brisbane, Australia; Dermatology Research Centre, The University of Queensland School of Medicine, Brisbane, Australia
| | - Jenny E Murase
- Department of Dermatology, University of California School of Medicine, San Francisco, California; Department of Dermatology, Palo Alto Foundation Medical Group, Mountain View, California.
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94
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Self-assessment of striae gravidarum prophylaxis. Postepy Dermatol Alergol 2016; 32:459-64. [PMID: 26755911 PMCID: PMC4697027 DOI: 10.5114/pdia.2015.56100] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2013] [Accepted: 02/10/2014] [Indexed: 11/17/2022] Open
Abstract
Introduction Striae are the most frequently occurring pathology of connective tissue during pregnancy. According to the statistical data, 70–90% of women suffer from striae gravidarum. Aim To assess effectiveness of topical products and massage used by pregnant women in striae gravidarum prophylaxis. Material and methods The questionnaire study was conducted among 299 women who were maximum 6 months after delivery at term. The questionnaire included questions concerning age, occurrence of striae gravidarum during pregnancy, their location, week of gestation when the lesions appeared and used striae prophylaxis as well as its effectiveness in respondents’ opinion. Results Analysis of the correlation between striae gravidarum occurrence and use of different types of cosmetics showed that this kind of prophylaxis is effective when applied at least twice a day (63.7% vs. 77.6%). No correlation between the type of cosmetics and presence of striae was observed (p > 0.05). Conclusions Use of prophylactic measures like skin emollients and oils with the appropriate frequency significantly reduces the risk of striae gravidarum occurrence.
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95
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Harmelin Y, Boineau D, Cardot‐Leccia N, Fontas E, Bahadoran P, Becker A, Montaudié H, Castela E, Perrin C, Lacour J, Passeron T. Fractionated bipolar radiofrequency and bipolar radiofrequency potentiated by infrared light for treating striae: A prospective randomized, comparative trial with objective evaluation. Lasers Surg Med 2016; 48:245-53. [DOI: 10.1002/lsm.22458] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/29/2015] [Indexed: 11/05/2022]
Affiliation(s)
- Yona Harmelin
- Department of DermatologyUniversity Hospital of NiceNiceFrance
| | | | | | - Eric Fontas
- Department for Clinical Research and InnovationUniversity Hospital of NiceNiceFrance
| | - Philippe Bahadoran
- Department of DermatologyUniversity Hospital of NiceNiceFrance
- Clinical Research CenterUniversity Hospital of NiceNiceFrance
| | | | - Henri Montaudié
- Department of DermatologyUniversity Hospital of NiceNiceFrance
| | - Emeline Castela
- Department of DermatologyUniversity Hospital of NiceNiceFrance
| | | | | | - Thierry Passeron
- Department of DermatologyUniversity Hospital of NiceNiceFrance
- INSERM U1065, Team 12, C3MNiceFrance
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96
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Wang F, Calderone K, Smith N, Do T, Helfrich Y, Johnson T, Kang S, Voorhees J, Fisher G. Marked disruption and aberrant regulation of elastic fibres in early striae gravidarum. Br J Dermatol 2015; 173:1420-30. [DOI: 10.1111/bjd.14027] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/02/2015] [Indexed: 01/08/2023]
Affiliation(s)
- F. Wang
- Department of Dermatology; University of Michigan Medical School; 1910 Taubman Center; 1500 East Medical Center Drive Ann Arbor MI 48109 U.S.A
| | - K. Calderone
- Department of Dermatology; University of Michigan Medical School; 1910 Taubman Center; 1500 East Medical Center Drive Ann Arbor MI 48109 U.S.A
| | - N.R. Smith
- Department of Dermatology; University of Michigan Medical School; 1910 Taubman Center; 1500 East Medical Center Drive Ann Arbor MI 48109 U.S.A
| | - T.T. Do
- Department of Dermatology; University of Michigan Medical School; 1910 Taubman Center; 1500 East Medical Center Drive Ann Arbor MI 48109 U.S.A
| | - Y.R. Helfrich
- Department of Dermatology; University of Michigan Medical School; 1910 Taubman Center; 1500 East Medical Center Drive Ann Arbor MI 48109 U.S.A
| | - T.R.B. Johnson
- Department of Obstetrics & Gynecology; University of Michigan Medical School; Von Voigtlander Women's Hospital; 1540 E. Hospital Drive Ann Arbor MI 48109 U.S.A
| | - S. Kang
- Department of Dermatology; University of Michigan Medical School; 1910 Taubman Center; 1500 East Medical Center Drive Ann Arbor MI 48109 U.S.A
| | - J.J. Voorhees
- Department of Dermatology; University of Michigan Medical School; 1910 Taubman Center; 1500 East Medical Center Drive Ann Arbor MI 48109 U.S.A
| | - G.J. Fisher
- Department of Dermatology; University of Michigan Medical School; 1910 Taubman Center; 1500 East Medical Center Drive Ann Arbor MI 48109 U.S.A
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97
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Ud-Din S, McGeorge D, Bayat A. Topical management of striae distensae (stretch marks): prevention and therapy of striae rubrae and albae. J Eur Acad Dermatol Venereol 2015; 30:211-22. [PMID: 26486318 PMCID: PMC5057295 DOI: 10.1111/jdv.13223] [Citation(s) in RCA: 61] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2015] [Accepted: 05/22/2015] [Indexed: 01/03/2023]
Abstract
Striae distensae (SD) are common dermal lesions, with significant physical and psychological impact. Many therapeutic modalities are available but none can completely eradicate SD. The most common therapy is the application of topicals used both therapeutically and prophylactically. Even though there are many commercially available topical products, not all have sufficient level of evidence to support their continued use in SD. The aim here was to assess the evidence for the use of topicals in SD and to propose a structured approach in managing SD. A systematic search of published literature and manufacturer website information for topicals in SD was carried out. The results showed that there are few studies (n = 11) which investigate the efficacy of topicals in management of SD. Trofolastin and Alphastria creams demonstrated level-2 evidence of positive results for their prophylactic use in SD. Additionally, tretinoin used therapeutically showed varying results whilst cocoa butter and olive oil did not demonstrate any effect. Overall, there is a distinct lack of evidence for each topical formulation. The majority of topicals failed to mention their effect on early vs. later stages of SD (striae rubrae compared to striae albae) and their role in both prevention and treatment. In conclusion, there is no topical formulation, which is shown to be most effective in eradicating or improving SD. A structured approach in identification and targeted management of symptoms and signs with the appropriate topical is required. Randomized controlled trials are necessary to assess the efficacy of topical products for treatment and prevention of different stages of SD.
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Affiliation(s)
- S Ud-Din
- Plastic and Reconstructive Surgery Research, Manchester Institute of Biotechnology, University of Manchester, Manchester, UK.,Centre for Dermatology, Institute of Inflammation and Repair, Faculty of Medical and Human Sciences, University of Manchester, Manchester Academic Health Science Centre, Manchester, UK
| | - D McGeorge
- Grosvenor Nuffield Hospital, Chester, UK
| | - A Bayat
- Plastic and Reconstructive Surgery Research, Manchester Institute of Biotechnology, University of Manchester, Manchester, UK.,Centre for Dermatology, Institute of Inflammation and Repair, Faculty of Medical and Human Sciences, University of Manchester, Manchester Academic Health Science Centre, Manchester, UK
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98
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[What's new in paediatric dermatology?]. Ann Dermatol Venereol 2015; 141 Suppl 4:S622-9. [PMID: 25539754 DOI: 10.1016/s0151-9638(14)70166-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Regular analysis of the major journals in dermatology and paediatrics has been used to select forty articles which are representative of the past year in paediatric dermatology. This selection is not exhaustive but rather reflects the interests of the author and also the dominant topics in paediatric dermatology in 2013-2014.
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99
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Leo MS, Kumar AS, Kirit R, Konathan R, Sivamani RK. Systematic review of the use of platelet-rich plasma in aesthetic dermatology. J Cosmet Dermatol 2015. [PMID: 26205133 DOI: 10.1111/jocd.12167] [Citation(s) in RCA: 89] [Impact Index Per Article: 9.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Platelet-rich plasma (PRP) is a highly concentrated autologous solution of plasma prepared from a patient's own blood. PRP contains platelets that are purported to release numerous growth factors that may be valuable in numerous dermatologic applications. Here, we review systematically the clinical cosmetic applications of PRP including: androgenetic alopecia, scar revision, acne scars, skin rejuvenation, dermal augmentation, and striae distensae to understand the potential and best practices for PRP use. A systematic search was conducted on three databases: Pubmed, Embase, and Web of Science. Publications were included if they were in English, investigated the clinical applications of PRP in aesthetic dermatology and reported clinical results either as case reports or clinical studies. There were a total of 22 manuscripts that fulfilled these criteria. Four evaluated hair-related applications, eight evaluated the treatment of scars and postprocedure recovery, eight evaluated skin rejuvenation and dermal augmentation, and two evaluated treatment of striae distensae. PRP is a relatively new treatment modality with studies suggesting its utility in aesthetic dermatology. The combination of PRP with other therapies is particularly interesting. Future studies should include controls, including incorporation of split-face comparisons, to reduce intersubject variability.
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Affiliation(s)
- Michael S Leo
- School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, USA
| | - Alur S Kumar
- Department of Dermatology, Owaisi Hospital and Research Centre, Hyderabad, India
| | - Raj Kirit
- Sainath Skin Clinic, Himayathnagar, Hyderabad, India
| | - Rajyalaxmi Konathan
- Department of Dermatology,Venereology, and Leprosy, Central Hospital South Central Railway, Hyderabad, India
| | - Raja K Sivamani
- Department of Dermatology, University of California, Davis, Sacramento, CA, USA
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100
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Tretti Clementoni M, Lavagno R. A novel 1565 nm non-ablative fractional device for stretch marks: A preliminary report. J COSMET LASER THER 2015; 17:148-55. [PMID: 25633176 PMCID: PMC4673510 DOI: 10.3109/14764172.2015.1007061] [Citation(s) in RCA: 39] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2014] [Accepted: 01/05/2015] [Indexed: 11/24/2022]
Abstract
BACKGROUND Striae Distensae (SD) is a very common dermatologic condition. We evaluated the effectiveness and safety of a novel non-ablative fractional 1565 nm laser (ResurFX) on the appearance of SD. MATERIALS AND METHODS Twelve Caucasian subjects with various stages of SD received three non-ablative laser treatments. Each treatment consisted of two different laser settings, in order to achieve a demarcated dense impact together with a diffused deep impact. Three months after the last treatment, SD improvement was assessed by blinded and non-blinded reviewers using clinical images and 3D image analyses. RESULTS Good clinical improvement (between 51% and 75%) was observed in all patients. Most patients showed improvement of > 50% in the volume of depressions and in lesion color (91.7% and 83.3% of patients, respectively). The average pain during treatment was generally defined as tolerable and the average downtime was 4 days. Transient erythema and severe edema were noted immediately after the procedure, but long-lasting or severe adverse effects were not observed. All patients noted a good improvement and were satisfied with the treatment and the results. CONCLUSIONS The treatment with the 1565 nm ResurFX laser resulted in improved pigmentation, volume, and textural appearance of SD.
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Affiliation(s)
| | - Rosalia Lavagno
- Department of Laser and Surgery, Istituto Dermatologico Europeo, Milano, Italy
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