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.