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Striae Gravidarum
Aka: Striae Gravidarum, Striae Albicantes, Stretch Marks of Pregnancy
- Epidemiology
- Incidence: 90% of pregnant women by third trimester
- Risk Factors
- Fetal Macrosomia
- Obesity
- Family History
- Non-caucasian
- Physiology
- Related to Stretching with pregnancy
- Deep collagen deposits break apart
- Also associated with increased ACTH secretion
- Affects connective tissue
- Signs
- Red, pink, or purple depressed atrophic bands, streaks
- Distribution (occurs in areas of higher fat)
- Abdomen
- Buttocks
- Breasts
- Thighs
- Arms
- Regress after delivery
- Residual white streaks remain (Striae Albicantes)
- Management: Antepartum
- Minimal evidence of benefit of any topical in pregnancy
- Combination products with possible benefit
- Tocopherol, Fatty Acids, panthenol, hyaluronic acid
- Centella asiatica, alpha-tocopherol, collagen-elastin
- Unclear safety in pregnancy
- Management: Postpartum
- Typical course is for striae to fade postpartum
- Topical Retin A
- Indicated if striae in early stages (still red)
- May reduce residual changes
- Do not use concurrently in pregnancy or Lactation
- System Retinoids have been used
- Pulsed dye laser at 585 nm
- References
- Kang (1998) J Am Acad Dermatol 39:S90-2 [PubMed]
- McDaniel (2002) Dermatol Clin 20:67-76 [PubMed]
- Tunzi (2007) Am Fam Physician 75:211-8 [PubMed]