A teenager with horizontal purple stripes on the lower back

Consider investigating levels of sex hormones, cortisol, and adrenocorticotrophic hormone (ACTH) if you suspect an endocrine or connective tissue disease.1235 Adolescent striae may also be associated with a family history of striae distensae.12367 3. Striae usually fade after months or years.123 Top...

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Bibliographic Details
Published in:BMJ (Online) 2022-07, Vol.378, p.e070642-e070642
Main Authors: Hung, Yi-Teng, Chang, Yao-Yu, Chen, Wei-Ti
Format: Article
Language:English
Subjects:
Adrenocorticotropic hormone
Case reports
Child development
Clinical trials
Connective tissue
Connective tissue diseases
Endgames
Physiology
Prophylaxis
Puberty
Retinoic acid
Sex hormones
Teenagers
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Summary:Consider investigating levels of sex hormones, cortisol, and adrenocorticotrophic hormone (ACTH) if you suspect an endocrine or connective tissue disease.1235 Adolescent striae may also be associated with a family history of striae distensae.12367 3. Striae usually fade after months or years.123 Topical tretinoin, laser, acid peeling, dermabrasion, and laser therapy may be used to improve the cosmetic appearance, but evidence for their use is limited.18 Although evidence for the continued use of commercially available emollient or other topical agents is insufficient,9 consider trials with these products as they may reduce striae severity and/or prevent new stretch marks.10 Learning points Physiological striae atrophicae of adolescence is a clinical diagnosis and commonly occurs in healthy non-obese adolescents, usually during growth spurts Striae usually fade spontaneously Consider investigation for endocrine or connective tissue disorders if clinically indicated. Provenance and peer review: not commissioned; externally peer reviewed. 1 Al-Himdani S Ud-Din S Gilmore S Bayat A. Striae distensae: a comprehensive review and evidence-based evaluation of prophylaxis and treatment.
ISSN:1756-1833
1756-1833
DOI:10.1136/bmj-2022-070642