Bullous striae distensae

A 17-year-old girl was referred to us from the emergency department of our hospital for multiple asymptomatic ‘blisters’ on her abdomen, noticed 2 days before. There were no systemic complaints. She was diagnosed with nephrotic syndrome 3 months previously, based on a 4+ proteinuria on dipstick, 24-hour urinary protein levels of 2.5 g/dL and features of membranoproliferative glomerulonephritis on renal biopsy, and was on 60 mg prednisolone per day since. Her latest haematological investigations were significant for anaemia (haemoglobin 9.1 g/dL) and hypoproteinemia (serum protein 2.8 g/dL, albumin 1.5 g/dL). General physical examination revealed pallor, anasarca and cushingoid habitus. There were multiple striae on the axillae, abdomen, lower back, buttocks and thighs. The striae on the flanks and lower abdomen appeared to be swollen and shiny (figure 1), and clear serous fluid came out from them on puncturing with a sterile needle (figure 2). Figure 1Multiple striae, which appear to...
Source: Postgraduate Medical Journal - Category: Journals (General) Authors: Tags: Images in medicine Source Type: research