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Chapter 46: Striae Distensae

INTRODUCTION

KEY POINTS

  • Striae distensae are vertical atrophic scars that can vary in presentation across skin colors.

  • Striae rubra are more common in lighter skin, while striae alba are more common in darker skin.

  • Striae rubra tend to present as pink to dark red, while striae alba are hypopigmented to white.

  • In darker skin, striae can also be violaceous initially and can resolve as hypopigmented to white over time.

image

FIGURE 46-1.

Dark-brown linear atrophic plaques representing striae distensae in a person with dark skin. (Reproduced with permission from Prose NS, Kristal L. Weinberg’s Color Atlas of Pediatric Dermatology, 5th ed. New York, NY: McGraw Hill; 2017, Figure 20-21.)

A patient with brown skin exhibits linear, hyperpigmented dark brown atrophic plaques.
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FIGURE 46-2.

Linear pink patches on the abdomen of a light-skinned person, representing striae rubra. (Reproduced with permission from Tannous Z, Avram MM, Tsao S, et al. Color Atlas of Cosmetic Dermatology, 2nd ed. New York, NY: McGraw Hill; 2011, Figure 60-3.)

A photo shows multiple vertical stretch marks on the abdomen of a female patient.
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