Bullous striae distensae in a young patient with cardiomyopathy


Published: 9 August 2023
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Striae distensae (SD), also known as stretch marks, are observable linear scars that appear where dermal damage has occurred as a result of prolonged stretching of the skin. The actual pathophysiology of SD is still up for debate because its origins are multifaceted. Generally, striae are benign lesions, but larger lesions may get traumatized and become ulcerated or rupture. In patients with edema and receiving systemic steroids, bullous SD could develop secondary to fluid buildup preferentially in striae. We report a case of a young patient with cardiomyopathy who received systemic steroids and developed bullous striae distensae.


Lovell CR. Acquired disorders of dermal connective tissue striae in rook’s textbook of dermatology (Griffiths C, Barker J, Bleiker T, Chalmers R, Creamer D) 9th ed. Chichester UK; 2016.p. 96.9-10.

Ross NA, Ho D, Fisher J, et al. Striae distensae: preventative and therapeutic modalities to improve aesthetic appearance. Dermatol Surg 2017;43:635-48.

Ammar NM, Rao B, Schwartz RA, Janniger CK. Adolescent striae. Cutis 2000;65:69-70.

Shuster S. The cause of striae distensae. Acta Derm Venereol Suppl (Stockh) 1979;59:161-9.

Agg B, Benke K, Szilveszter B, et al. Possible extracardiac predictors of aortic dissection in Marfan syndrome. BMC Cardiovasc Disord 2014;14:47.

Nuutinen P, Riekki R, Parikka M, et al. Modulation of collagen synthesis and mRNA by continuous and intermittent use of topical hydrocortisone in human skin. Br J Dermatol 2003;148:39-45.

Darvay A, Acland K, Lynn W, Russell-Jones R. Striae formation in two HIV-positive persons receiving protease inhibitors. J Am Acad Dermatol 1999;41:467-9.

Watson RE, Parry EJ, Humphries JD, et al. Fibrillin microfibrils are reduced in skin exhibiting striae distensae. Br J Dermatol 1998;138:931-7.

Tung JY, Kiefer AK, Mullins M, et al. Genome-wide association analysis implicates elastic microfibrils in the development of nonsyndromic striae distensae. J Invest Dermatol 2013;133:2628-31.

Masood S, Jalil P, Naveed S, Kanwal S. Bullous striae distensae with prolonged steroid use: An unusual clinical presentation. Indian Dermatol Online J 2020;11:280-1.

Peterson JL, McMarlin SL, Read SI. Edematous striae distensae. Arch Dermatol 1984;120:1097-8.

Lee JH, Lee EK, Kim CW, Kim TY. A case of edematous striae distensae in lupus nephritis. J Dermatol 1999;26:122-4.

Seshadri D, De D, Rathi M, et al. Fluid within striae: an unusual phenomenon. JCR 2013;3:331-3.

Liu C, Sutherland R. Yellow bullous striae distensae. Indian J Dermatol Venereol Leprol 2022:1-2.

Kumar V, Iyengar SS. Edematous striae distensae. Intern Emerg Med 2012;S2:S159-60.

Lokhande A, Dhali T, Chaudhary P, et al. Distended striae distensae in a patient with nephrotic syndrome. J Dermatol Dermatologic Surg 2018;22:82.

Choe SW, Yoon YH, Seo SJ, et al. A case of edematous striae distensae by corticosteroid and generalized edema in nephrotic syndrome. Korean J Dermatol 2004;42:1238-40.

Han G, Lee KS, Cho JW. Bullous striae distensae in a pregnant woman with systemic lupus erythematosus. Korean J Dermatol 2013;51:356-9.

Gupta V, Yadav S. Bullous striae distensae. Postgrad Med J 2017;93:108.

Jogova M, Hwang SW. Fluid-filled striae in patient with hypoalbuminemia. CMAJ 2017;189:E942.

Alowairdhi, Y., Alowirdi, F., & Alessa, D. (2023). Bullous striae distensae in a young patient with cardiomyopathy. Dermatology Reports, 15(4). https://doi.org/10.4081/dr.2023.9762

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