Conclusion:
To conclude, the dramatic appearance of the fluid-filled striae distensa
may cause concerns among physicians who may not be familiar with this
uncommon presentation, although they are benign. The emergence of
bullous lesions in this context is likely attributed to the chronic use
of systemic steroids and the underlying connective tissue weakening
associated with the stria. Therefore, awareness of this rare
complication and unusual clinical presentation is fundamental to prevent
unnecessary investigations or treatments and ensure appropriate
management of the underlying condition.