Bullous striae distensae in a nephrotic syndrome patient: First case report from the Middle East of a rare presentation and review of the literature.

Autor: Alrefaie SI; Faculty of Medicine King Abdulaziz University Jeddah Saudi Arabia.; Department of Dermatology, Faculty of Medicine King Abdulaziz University Jeddah Saudi Arabia., Aljoudi SB; Faculty of Medicine King Abdulaziz University Jeddah Saudi Arabia.; Department of Dermatology, Faculty of Medicine King Abdulaziz University Jeddah Saudi Arabia., Nukaly HY; Department of Dermatology, Faculty of Medicine King Abdulaziz University Jeddah Saudi Arabia.; College of Medicine and Surgery Batterjee Medical College Jeddah Saudi Arabia., ALHawasawi WK; Department of Dermatology King Fahad Armed Forces Hospital Jeddah Saudi Arabia., Hariri JO; Faculty of Medicine King Abdulaziz University Jeddah Saudi Arabia.; Department of Dermatology, Faculty of Medicine King Abdulaziz University Jeddah Saudi Arabia.
Jazyk: angličtina
Zdroj: Clinical case reports [Clin Case Rep] 2024 Apr 05; Vol. 12 (4), pp. e8667. Date of Electronic Publication: 2024 Apr 05 (Print Publication: 2024).
DOI: 10.1002/ccr3.8667
Abstrakt: Striae distensae is a common cutaneous phenomenon that begins as reddish linear atrophic plaques (striae rubra) that over time progress to silvery-white coloration (stria alba). Striae distensae in rare occasions becomes edematous, ulcerative, emphysematous, or urticated. Bullous striae distensae is a sequela of conditions causing interstitial edema along with systemic glucocorticoids use. To our knowledge, only eight cases of bullous striae distensae have been reported in the literature. Herein, we report a 17-year-old female, known case of nephrotic syndrome, presented to our clinic with abdominal fluid-fill cutaneous lesions only for 5 days. She had used systemic glucocorticoids for more than a decade before she was labeled as steroid resistant nephrotic syndrome. Cushingoid body habitus were observed during physical examination, in addition to translucent bullae overlying her previously known stretch marks. Punch biopsy of the lesions revealed dermal edema with thinned collagen bundles. Based on these clinicopathological findings, a diagnosis of bullous striae distensae was made. Awareness of this rare complication and unusual clinical presentation is fundamental to avoid unnecessary and excessive interventions whether investigatory or therapeutic in order to provide appropriate management of the underlying condition.
Competing Interests: The authors do not have any conflict of interest.
(© 2024 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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