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Background Different types of laser have recently been reported as effective tools of treatment in striae distensae. Although fractional photothermolysis is effective for striae distensae, post-inflammatory hyperpigmentation is a major concern and common complication. There are no reports of the effects of using an intradermal radiofrequency (RF) device in striae distensae. Autologous platelet-rich plasma (PRP) is an effective treatment known for its wound-healing effects. Methods Nineteen Asian female patients with striae distensae were enrolled in this study. Three sessions of intradermal RF (1134-kHz frequency, 12-W power, 26-G electrode size) combined with autologous PRP were performed in each patient at intervals of four weeks. Patients were evaluated subjectively by the investigators and by themselves. Results Evaluation of clinical results at four weeks after treatment showed that only one (5.3%) of the 19 patients achieved excellent improvement, whereas seven (36.8%) demonstrated marked improvement, six (31.6%) showed moderate improvement, and five (26.3%) showed mild improvement. None of the patients showed worsening of striae distensae. A total of 63.2% of patients reported they were 'satisfied' or 'very satisfied' with the degree of overall improvement. Conclusions Intradermal RF combined with autologous PRP appears to be an effective treatment for striae distensae. [ABSTRACT FROM AUTHOR]

The authors describe the case of a 23-year-old woman with a history of systemic lupus erythematosus (SLE) and lupus nephritis diagnosed with lupus vasculitis (LV) presenting as hemorrhagic bullae overlying the striae. Topics discussed include the development of striae in the genital area, legs, and flanks, the spread of lower extremity edema to the abdomen and genitals, and the decompression of bullae with a sterile needle. Also mentioned are treatment with clobetasol paste and silvadene.

The article describes the case of a 12-year-old girl with a history of pruritus, erythema, desquamation over stretch marks on her legs and acute lymphoblastic leukemia, and who developed with a cutaneous acute graft-versus-host disease (aGVHD) with isomorphic disposition in striae distensae. The diagnosis was confirmed after performing physical examination, histopathologic examination and skin biopsy. Other cases of cGVHD caused by lichen planus are mentioned.