Introduction
Striae Distensae (SD), a well-recognized phenomenon resulting from
dermal scaring, it is usually associated with physiological conditions
such as pregnancy, growth spurt, rapid weight loss or gain or iatrogenic
causes such as topical or systemic corticosteroid
administration1. It is aesthetically troublesome and
therapeutically challenging. SD early stages appear as flesh-toned
atrophic linear plaques that eventually progress to silvery-whitish
atrophic plaques.1,2 Most commonly affect dispensable
body areas such as the buttock, lower back, thighs, calves, breast and
abdomen.3 Rare secondary changes within SD have been
mentioned in the literature, including edema, urticaria,
dyspigmentation, ulceration, dehiscence and subcutaneous emphysema.
Fluid filling these striae are an unusual finding. Very few cases have
been reported discussing this phenomenon.4,5 Upon
literature review, it was notable that even in the very few case reports
of BSD, almost all the patients were on long-term oral steroids as well
as having hypoalbuminemia, except for one patient as demonstrated inTable 1 .4 Herein, we report a case of a
17-year-old girl with nephrotic syndrome who was treated with high dose
of corticosteroids presented to the day-care unit with Bullous Striae
Distensae.