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Picture of the Month—Diagnosis
Arch Pediatr Adolesc Med. 2008;162(3):278.
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Denouement and Discussion: Striae
Striae are common linear, red to violaceous atrophic lesions, also known as striae cutis distensae or striae atrophicae. Commonly several centimeters in length and between 1 to 10 mm wide, striae's long axes are perpendicular to the direction of skin tension lines. Initially, striae may appear pink, red, or violet. In severe cases, they may have raised and inflamed edges. They tend to occur on the thighs, buttocks, shoulders, breasts, and lumbosacral areas in boys. Over time, they become flatter and acquire a white to silver appearance.1 Transverse linear striae were initially described in 1935 by Parkes2 on lower backs of male adolescents. Striae were subsequently described in 1964 by Shelley and Cohen2 and were believed to be a result of repetitive heavy lifting resulting in a dermal tear.3 However, more recently, they have been linked to obesity, corticosteroid therapy, athletics, excessive marijuana use, and rapid weight gain or loss.4 . . . [Full Text of this Article] AUTHOR INFORMATION
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Cynthia J. Burk, Bharani Pandrangi, and Elizabeth Alvarez Connelly
Arch Pediatr Adolesc Med. 2008;162(3):277.
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