Striae distensae

Patients of varying skin types (1-V) having striae distensae alba on the abdomen or thighs can apply topical 20% glycolic acid daily to the entire treatment area. In addition, these patients apply 10% L-ascorbic acid, 2% zinc sulfate, and 0.5% tyrosine to half of the treatment area and 0.05% tretinoin emollient cream to the other half of the treatment area. The creams are applied on a daily basis for 12 weeks. Improvement is evaluated at 4 and 12 weeks with increased elastin content within the reticular and papillary dermis [14]. 

Inspection Upon inspection, pronounced cases of ascites are characterized by marked protrusion of the abdomen. The umbilicus becomes everted or bulging. The distance between the navel and the symphysis appears diminished as a result of caudal displacement of the former. With large quantities of ascitic fluid, the abdominal skin is taut and shiny. In long-standing cases of ascites, striae distensae, together with expanded collateral veins radiating from the navel, may be visible. Increased ascitic pressure sometimes causes the occurrence of a hernia (inguinal, femoral, umbilical or cicatricial). (S. fig. 16.7) (41, 48, 57)... 

Striae distensae (consider also misuse of anabolic steroids) striae may also develop as an effect of endogenous corticosteroids in adolescents. Lichenified plaques on the neck calluses on the hands... 

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