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1.
Fisioter. Bras ; 23(1): 114-127, Fev 11, 2022.
Article in Portuguese | LILACS | ID: biblio-1358606

ABSTRACT

Introdução: As estrias são as lesões elementares de pele que acometem mais o sexo feminino. Podem ser decorrentes de múltiplas etiologias, como fatores genéticos, hormonais e mecânicos. As principais formas de tratamento incluem as técnicas de microagulhamento, galvanopuntura e peeling químico. Objetivo: Comparar a influência da utilização do microagulhamento e da microcorrente galvânica associada ao peeling químico sobre a aparência de estrias albas na região glútea de mulheres jovens. Métodos: Realizou-se em 11 mulheres de fototipo de pele II a V de acordo com Fitzpatrick, com idade média de 22,18 ± 2,04 anos, com estrias albas na região do glúteo, as quais foram divididas em dois grupos: microagulhamento (GM) (N = 6) e microcorrente galvânica associada ao peeling químico (GMgP) (N = 5) e foram avaliadas por imagens do pré e pós-tratamento. Resultados: Foi possível observar melhora do aspecto das estrias em ambos os grupos, contudo, avaliando qualitativamente, o grupo GM obteve melhores resultados. Conclusão: Foi possível perceber melhores resultados utilizando a técnica de microagulhamento, tanto em relação a tolerância da dor e adesão ao tratamento, quanto em relação a aparência e textura das estrias. (AU)


Subject(s)
Humans , Female , Adult , Young Adult , Chemexfoliation , Electric Stimulation Therapy , Striae Distensae/therapy , Dry Needling , Cross-Sectional Studies , Prospective Studies , Qualitative Research
2.
Fisioter. Bras ; 22(3): 456-468, Jul 15, 2021.
Article in Portuguese | LILACS | ID: biblio-1290543

ABSTRACT

Introdução: Estrias são lesões dérmicas lineares que acometem ambos os sexos, sendo duas vezes mais comuns em mulheres. Objetivos: Investigar se a carboxiterapia é eficaz para melhorar a sensibilidade tátil, a satisfação corporal e o aspecto de estrias albas localizadas na região glútea de mulheres. Métodos: 38 mulheres hígidas com estrias albas bilateralmente na região glútea participaram do estudo. A aplicação da carboxiterapia foi realizada em um glúteo e porção superior da coxa através da introdução da agulha hipodérmica paralelamente as estrias. Foram realizadas doze sessões com duração média de 20 minutos cada, com intervalo de sete dias. A eficácia da intervenção foi avaliada através de registros fotográficos, avaliação da dor, avaliação da sensibilidade tátil, e autoavaliação de satisfação pós-tratamento. Resultados: Não houve diferença estatisticamente significativa entre o grupo experimental e o grupo controle no que diz respeito à avaliação dos registros fotográficos. Houve redução significativa entre a dor e melhora da sensibilidade nas voluntárias. Também houve diferença significativa da satisfação com a aparência do próprio glúteo antes e após o tratamento. Conclusão: A carboxiterapia foi eficaz em melhorar a sensibilidade tátil e a satisfação com o corpo de mulheres hígidas com estrias albas na região glútea. (AU)


Introduction: Stretch marks are linear lesions that affect both sexes, being twice as common in women. Objectives: To investigate whether carboxytherapy is effective in improving tactile sensitivity, body satisfaction and the appearance of stretch marks located in the gluteal region of women. Methods: Thirty-eight healthy women with bilateral stretch marks in the gluteal region participated in the study. Carboxitherapy was applied to a gluteus and upper thigh by introducing the hypodermic needle in parallel as stretch marks. Twelve sessions were held with an average duration of 20 minutes each, with an interval of seven days. The assessment of the intervention was assessed through photographic records, pain assessment, assessment of tactile sensitivity and automatic assessment of satisfaction after treatment. Results: There was no statistically significant difference between the experimental group and the control group regarding the evaluation of photographic records. We observed a significant reduction between pain and improved sensitivity in the volunteers, and a significant difference in satisfaction with his appearance before and after treatment. Conclusion: Carboxytherapy was effective in improving tactile sensitivity and body satisfaction in healthy women with stretch marks in the gluteal region. (AU)


Subject(s)
Humans , Female , Personal Satisfaction , Physical Therapy Modalities , Striae Distensae , Physical Appearance, Body , Buttocks , Randomized Controlled Trial
3.
Fisioter. Bras ; 22(2): 249-260, Maio 25, 2021.
Article in Portuguese | LILACS | ID: biblio-1284172

ABSTRACT

Introdução: Estrias são alterações no tecido tegumentar, principalmente nas fibras de elastina e colágeno. São frequentemente acompanhadas de problemas psicossociais e de autoestima. Existem diversas técnicas utilizadas, como o microagulhamento, que estimula a produção de colágeno e a dermopigmentação, que camufla as estrias por meio da pigmentação. Objetivo: Verificar a influência do microagulhamento associado a micropigmentação em estrias albas de mulheres. Métodos: Realizou-se um protocolo de Estriaderme em três mulheres de fototipo de pele II a V, de idade média de 27 ± 0,3 anos com estrias albas nos glúteos. O protocolo foi composto por 5 sessões com intervalos quinzenais, em quatro foram realizadas a micropuntura associada ao ácido hialurônico e em uma realizou-se a micropigmentação. As participantes foram avaliadas por fotografias e paquímetro. Resultados: No pós-tratamento, observou-se uma melhora estética nas regiões de aplicação, o tecido tegumentar demonstrou-se mais uniforme, homogêneo e com maior jovialidade. Com redução na espessura das estrias e uma média de redução de 1,8 mm em relação ao pré-tratamento (média ± 3 mm). Conclusão: O protocolo Estriaderme demonstrou ter efeito positivo sobre a pele estriada, no que se refere a sua vascularização, vitalidade, pigmentação, relevo cutâneo, espessura e quantidade. (AU)


Introduction: Stretch marks are alterations in the integumentary tissue, mainly in the elastin and collagen fibers. They are often accompanied by psychosocial and selfesteem problems. Several techniques are used, such as micro-needling, which stimulates collagen production and dermopigmentation, which camouflages stretch marks by pigmenting the area. Objective: To verify the influence of micropuncture associated with micropigmentation on female striae alba. Methods: A Striaderm protocol was performed on three women of skin phototype II to V according to Fitzpatrick, mean age 27 ± 0.3 years with gluteus alba striae. The protocol consisted of 5 sessions at biweekly intervals, four underwent micropuncture associated with hyaluronic acid and one underwent micropigmentation. The participants were evaluated by photographs and caliper. Results: Post-treatment showed an aesthetic improvement in the application regions, the integumentary tissue was more uniform, homogeneous, and more youthful. With reduction in stretch marks and an average reduction of 1.8 mm compared to pretreatment (mean ± 3 mm). Conclusion: The Striaderme protocol has been shown to have a positive effect on striated skin with respect to its vascularity, vitality, pigmentation, skin relief, thickness, and quantity. (AU)


Subject(s)
Humans , Female , Pigmentation , Striae Distensae , Physical Therapy Modalities , Guidelines as Topic
4.
An. bras. dermatol ; 96(1): 94-96, Jan.-Feb. 2021. graf
Article in English | LILACS | ID: biblio-1152782

ABSTRACT

Abstract We report four cases of ulcerated striae following misuse of fixed dose combinations creams containing clobetasol propionate with antifungal and antibacterial agents.


Subject(s)
Humans , Anti-Allergic Agents , Striae Distensae/chemically induced , Ulcer , Clobetasol/adverse effects , Adrenal Cortex Hormones/adverse effects
5.
Rev. Soc. Bras. Clín. Méd ; 17(3): 147-152, jul.-set. 2019. ilus.
Article in Portuguese | LILACS | ID: biblio-1284216

ABSTRACT

A síndrome de Ehlers-Danlos é estabelecida por distúrbios hereditários do tecido conjuntivo que tem como manifestações principais a hipermobilidade articular, a hiperextensibilidade da pele e a fragilidade de tecidos, como articulações, ligamentos, pele, vasos sanguíneos e órgãos internos. São reconhecidos 13 subtipos, de acordo com Classificação Internacional de 2017. Dentre estes, abordamos o hipermóvel, cujo diagnóstico é eminentemente clínico, com manifestações sistêmicas distintas. Esse artigo refere-se ao caso de uma paciente diagnosticada com síndrome de Ehlers-Danlos hipermóvel, tendo como intuito a atualização acerca dos novos critérios diagnósticos, assim como o diagnóstico precoce de tal raropatia.


Ehlers-Danlos syndrome is established through hereditary disorders of connective tissue, and has as its manifestations: joint hypermobility, skin hyperextensibility, and fragility of tissues such as joints, ligaments, skin, blood vessels, and internal organs. Thirteen subtypes have been recognized according to the 2017 International Classification. Among these, the hypermobile type, the diagnosis of which is eminently clinical, with distinct systemic manifestations, will be addressed. This article refers to the case of a patient diagnosed with hypermobile Ehlers-Danlos syndrome, with the objective of updating the new diagnostic criteria, as well as the early diagnosis of such a rare disease.


Subject(s)
Humans , Female , Adult , Rare Diseases/diagnosis , Ehlers-Danlos Syndrome/diagnosis , Joint Instability/diagnosis , Physical Education and Training , Physical Therapy Department, Hospital , Echocardiography, Doppler , Tomography, X-Ray Computed , Cognitive Behavioral Therapy , Fatigue Syndrome, Chronic/etiology , Cardiology Service, Hospital , Exercise Tolerance/genetics , Muscle Weakness/etiology , Dilatation, Pathologic/diagnostic imaging , Joint Dislocations/etiology , Ehlers-Danlos Syndrome/complications , Ehlers-Danlos Syndrome/genetics , Ehlers-Danlos Syndrome/therapy , Osteoarthritis, Spine/diagnostic imaging , Striae Distensae/etiology , Musculoskeletal Pain/etiology , Chronic Pain/etiology , Intestinal Diseases/etiology , Joint Instability/complications , Joint Instability/genetics , Joint Instability/therapy , Anesthesia Department, Hospital , Mitral Valve Insufficiency/diagnostic imaging , Occupational Therapy Department, Hospital
6.
Saude e pesqui. (Impr.) ; 12(2): 343-349, maio/ago 2019. ilus, tab
Article in Portuguese | LILACS | ID: biblio-1016557

ABSTRACT

O laser de baixa potência é um recurso utilizado em lesões de pele, contudo ainda pouco explorado no tratamento de estrias alba. Objetivo: comparar dois comprimentos de laser de baixa potência (660 nm e 830 nm) sobre estrias albas. Um grupo de 24 mulheres foi dividido em três: G1 ­ 660 nm; G2 ­ 830 nm; G3 ­ placebo. Realizaram-se 12 aplicações de laser, durante quatro semanas. Foram avaliadas fotos das estrias no antes, depois e após duas semanas das aplicações do laser para mensurar a área ocupada pelas estrias por meio de planimetria digitalizada, bem como seus aspectos. Pela planimetria observou-se redução estatisticamente significativa na área ocupada em G1. Na análise qualitativa, o grupo tratado com laser de 660 nm apresentou melhora no aspecto das estrias. A aplicação utilizando o laser de baixa potência com comprimento de onda de 660 nm demonstrou efeitos positivos na área analisada, bem como no aspecto das estrias.


Although low-power laser is employed in skin lesions, it is only scantily used in the treatment of white striae. Comparison of two low-power laser lengths (660 nm and 830 nm) on white striae. A group of 24 females was subdivided into three groups: G1 ­ 660 nm; G2 ­ 830 nm; G3 ­ placebo. Twelve laser applications were undertaken during four weeks. Photographs of striae before, after and after two weeks of laser application were performed to measure area with striae by digital planimetry and their aspects. Planimetry revealed statistically significant decrease in area occupied in G1. Group treated with 660 nm laser qualitatively improved striae aspect. Application with lower-power laser at 660 nm had a positive effect on the area analyzed and in the aspects of the striae.


Subject(s)
Humans , Female , Adult , Skin , Low-Level Light Therapy , Striae Distensae
7.
Fisioter. Bras ; 20(3): 442-447, Junho 11, 2019.
Article in Portuguese | LILACS | ID: biblio-1281363

ABSTRACT

As estrias são atrofias cutâneas lineares derivadas de um processo cicatricial. Elas se formam quando a tensão do tecido provoca uma lesão do conectivo dérmico, ocasionando uma dilaceração das malhas, gerando a perda da elasticidade e da compactação. A micropigmentação, também conhecida como dermopigmentação, dermografia, dermatografia ou tatuagem é uma técnica que consiste em um procedimento minimamente invasivo, utilizado para implantar pigmento na camada subepidérmica, para corrigir pequenas anormalidades ou para fins estéticos. O objetivo deste trabalho foi verificar a eficácia da camuflagem de cicatrizes de estrias por meio da micropigmentação. Após aplicação da sessão de micropigmentação foi verificado melhora da aparência das estrias na voluntária que seguiu corretamente as orientações. (AU)


Striae are linear cutaneous atrophies derived from a cicatricial process, they are formed when the tissue tension causes a lesion of the dermal connective, causing a tear of the meshes, generating the loss of elasticity and compression causing an injury. Micropigmentation, or also known as dermopigmentation, dermography, dermatography, or tattooing is a technique that consists of a minimally invasive procedure, used to implant pigment in the subepidermal layer, to correct small abnormalities or for aesthetic purposes. The objective of this case study was to verify the efficacy of the camouflage of scars by micropigmentation. After application of the micropigmentation session, it was verified an improvement in the appearance of the striae in the volunteer who followed the guidelines correctly. (AU)


Subject(s)
Humans , Female , Skin Pigmentation , Striae Distensae , Skin , Tattooing , Efficacy , Cicatrix
8.
Surg. cosmet. dermatol. (Impr.) ; 11(1): 19-25, Jan.-Mar. 2019. graf., ilus., tab.
Article in English, Portuguese | LILACS | ID: biblio-1008234

ABSTRACT

Introdução: Estrias são um desafio cotidiano ao dermatologista. Na busca por terapias alternativas, surgem o 5-fluorouracil (5-FU) e o microagulhamento ao associarem as seguintes propriedades: inibir fibrose, estimular renovação do colágeno e induzir pigmentação da pele. Objetivo: Avaliar a eficácia e segurança do 5-FU, isolado ou associado ao microagulhamento, no tratamento das estrias albas. Métodos: Estudo duplo-cego comparativo, durante 180 dias, entre três grupos: Grupo A - microagulhamento e 5-FU; Grupo B - 5-FU intralesional; e Grupo C - microagulhamento sem medicação. Mensurou-se a melhora por meio de uma escala numérica de coloração da pele, considerando-se resultados positivos aqueles com redução da discrepância entre a cor da pele adjacente e a da estria. Avaliou-se também a satisfação do paciente e a irritação com cada técnica. Resultados: Grupo A obteve 10% de melhora clínica excelente; 10%, muito boa; e 60%, leve. No grupo B, nenhuma paciente teve melhora excelente ou muito boa. Já no grupo C, observaram-se 20% de melhora clínica muito boa e 70% de melhora leve. Conclusões: Todas as técnicas apresentaram algum grau de melhora das lesões. Assim, propõem- se novos estudos comparando-se as três técnicas, com amostra mais ampla, para avaliar se maior número de sessões resultaria em resultados mais expressivos.


Introduction: Stretch marks are an everyday challenge to the dermatologist. In the search for alternative therapies, we find 5-fluorouracil (5-FU) and microneedling for associating the following properties: inhibition of fibrosis, stimulation of collagen renovation and induction of skin pigmentation. Objective: To evaluate the efficacy and safety of 5-FU, in isolation or associated to microneedling, for the treatment of white stretch marks (striae alba). Methods: Comparative, double-blind study over 180 days, between 3 groups: Group A: microneedling and 5-FU; Group B intralesional 5-FU and Group C microneedling without medication. We measured improvement through a numerical scale of skin coloration, considering positive results those with reduction of the discrepancy between the adjacent skin and the stretch mark. We also evaluated patient satisfaction and irritation with each technique. Results: Group A achieved 10% of excellent clinical improvement, 10% very good and 60% mild. In group B, none of the patients had excellent of very good improvement. In group C, there was 20% of very good clinical improvement and 70% of mild. Conclusions: All techniques showed some degree of improvement of the lesions. Therefore, we propose new studies comparing all three techniques, with a larger sample, to evaluate if more treatments would result in better results.


Subject(s)
Therapeutics , Methods , Striae Distensae , Fluorouracil
9.
Rev. bras. cir. plást ; 33(4): 580-585, out.-dez. 2018.
Article in English, Portuguese | LILACS | ID: biblio-980166

ABSTRACT

Estrias de distensão são cicatrizes na derme que constrangem os pacientes e oferecem desafios ao tratamento clínico. Resultam do rápido estiramento da pele, frequentemente presente em adolescentes, gestantes, obesos e indivíduos com rápida mudança de peso. Apresentam-se inicialmente como placas eritematosas e edemaciadas (estrias rubras) e, conforme amadurecem, tornam-se esbranquiçadas e atróficas (estrias albas), devido à degradação e reorganização de fibras de elastina e de colágeno. Atualmente, lasers representam modalidade terapêutica não invasiva emergente, que já demonstrou sucesso na redução da vascularização excessiva das estrias rubras, e no estímulo à produção de colágeno e elastina nas albas. Foi realizada revisão da literatura no PubMed referente ao tratamento de estrias atróficas com laser de janeiro de 2000 até dezembro de 2016. Os autores encontraram 28 artigos que se enquadraram nos critérios de inclusão. Existem poucos estudos clínicos randomizados avaliando a eficácia ao longo prazo e a segurança de aparelhos à base de energia. Baseado em casos clínicos e revisões sistemáticas, ambos os lasers - ablativo e não ablativo - fracionados demonstraram melhora modesta do aspecto das estrias distensas. Há tendência a sugestão do laser não ablativo fracionado de 1.540 nanômetro como sendo opção de primeira escolha para tratamento das estrias distensas. Porém, estudos futuros devem focar em desenhos de pesquisa com duração mais longa, medidas objetivas e padronizadas da avaliação dos resultados como biópsias e estudos moleculares, que demonstrem aumento nas fibras elásticas e fibras de colágeno, que correlacionem com a melhora do aspecto clínico das estrias após aplicação de lasers com parâmetros sistematizados.


Stretch marks are scars on the dermis that cause patients to be self-conscious and that pose challenges in clinical treatment. They result from rapid stretching of the skin and often observed in adolescents, pregnant women, obese individuals, and people experiencing rapid change in weight. They initially appear as erythematous and edematous plaques (red striae), and as they mature, they become whitish and atrophic (striae alba) due to the degradation and reorganization of elastin and collagen fibers. Currently, laser treatment is an emerging noninvasive therapeutic modality that is successful in reducing the excessive vascularization of red striae and in stimulating the production of collagen and elastin in the alba. In the present literature review, PubMed was searched for articles on the treatment of atrophic striations with laser that were published from January 2000 to December 2016. The authors have found 28 articles that met the inclusion criteria. Only few randomized clinical trials have evaluated the long-term efficacy and safety of energybased treatments. Based on clinical cases and systematic reviews, both ablative and non-ablative fractional lasers caused moderate improvement in the appearance of distending striae. The 1540-nm non-ablative fractional laser is more likely to be considered the first-line treatment for stretch marks. However, future studies should focus on research with longer duration, studies with objective and standardized measures for the evaluation of results, such as biopsy results, and molecular studies showing an increase in elastic and collagen fibers that correlate to the improvement in the clinical appearance of the striae after using lasers with systematized parameters.


Subject(s)
Humans , Male , Female , Infant, Newborn , Therapeutics/methods , Reconstructive Surgical Procedures/methods , Dermatology/methods , Laser Therapy/methods , Striae Distensae/surgery , Striae Distensae/prevention & control , Striae Distensae/therapy
10.
Egyptian Journal of Hospital Medicine [The]. 2018; 71 (2): 2626-2632
in English | IMEMR | ID: emr-192508

ABSTRACT

Background: Striae distensae are a well-recognized, common skin condition that rarely causes any significant medical problems but are often a significant source of distress to those affected. The natural evolution of striae is from red or purple, raised wavy lesions [striae rubra] to white atrophic lesions with wrinkly surface [striae alba]


Aim of the Work: was to compare the efficacy of the fractional CO2 laser in the treatment of striae rubra versus striae alba


Patients and Methods: The present study included 20 patients above the age of 18 of both sexes; 10 patients had striae rubra and 10 patients had striae alba. They were recruited from Dermatology outpatient clinic in Ain Shams University Hospital from June 2017 to January 2018. 4 sessions of Fractional CO2 Laser for each patient were performed one month apart. The treated striae were randomly selected from each patient [Striae rubra and alba] and were assessed before starting treatment, at the beginning of every session and one month after the last session as regards length, width, texture, color of striae and any complications encountered


Results: No significant difference was found on comparing the clinical response [improvement of color P= 0.653], [improvement of atrophy P= 0.606], side effects [Hyperpigmentation P= 0.531], [Pain P=0.606], [Hypopigmentation P=0.305], [Erythema P= 0.060], of both striae alba and rubra to the laser treatment


Conclusion: The present study showed significant clinical improvement in both types of striae distensae treated by Fractional CO2 Laser with non-significant difference between the 2 groups except the development of erythema in striae rubra group. Furthermore, the histological improvement was significant for both groups with low incidence of the side effects


Recommendations: Larger scale studies with longer follow up period are recommended to further clarify the role of fractional CO2 laser in treatment of striae distensae


Subject(s)
Humans , Male , Female , Adult , Striae Distensae/diagnosis , Skin Diseases , Lasers, Gas/therapeutic use , Lasers, Gas/adverse effects
11.
Annals of Dermatology ; : 633-634, 2017.
Article in English | WPRIM | ID: wpr-226474

ABSTRACT

No abstract available.


Subject(s)
Humans , Striae Distensae , Vitiligo
12.
Fisioter. Bras ; 18(4): f:489-I:496, 2017.
Article in Portuguese | LILACS | ID: biblio-907024

ABSTRACT

As estrias são cicatrizes indesejáveis que surgem na pele devido ao rompimento das fibras de colágeno e elastina presentes na derme, causando uma atrofia no tecido provocando o aparecimento de estrias, onde no início têm aspecto avermelhado, e quando se tornam "velhas" apresentam um aspecto esbranquiçado e abrilhantado (estrias nacaradas). O presente estudo contou com a participação de 16 mulheres iniciais, e ao final 3, com idades entre 18 e 35 anos que apresentavam estrias nacaradas na região abdominal pós-gravidez. Elas foram divididas em dois grupos: no Grupo A foi aplicada a eletrogalvanopuntura e, no Grupo B aplicada a acupuntura na técnica de pica-pau (sangria), no intuito de melhorar o aspecto do tecido estriado. Os resultados foram satisfatórios mostrando a eficácia das duas técnicas no tratamento das estrias nacaradas pós-gestacionais.(AU)


Stretch marks are unwanted scars that develop on the skin caused by the breakdown of collagen fibers and elastin found in the dermis, leading to tissue atrophy, forming the stretch marks, which are often red at the beginning, before gradually fading to a silvery white color. This study consisted initially of 16 women, and 3 at the end, aged 18 to 35, suffering of silvery white stretch marks on abdominal area after pregnancy. A sample of women was divided into two comparison groups: Group A used galvanic puncture, and Group B used the aloodletting acupuncture technique, to heal the stretch marks. The results were satisfactory and showed the significant efficacy of both treatments for improving pregnancy stretch marks.(AU)


Subject(s)
Humans , Female , Adult , Striae Distensae , Acupuncture , Bloodletting , Punctures
13.
Rev. AMRIGS ; 59(1): 20-23, jan.-mar. 2015. tab, graf
Article in Portuguese | LILACS | ID: biblio-836814

ABSTRACT

Introdução: Durante o período gestacional, o corpo feminino passa por profundas alterações hormonais e mecânicas, em que a pele também sofre alterações. O objetivo deste trabalho foi conhecer a prevalência das principais alterações dermatológicas no período gestacional de gestantes atendidas no Hospital São José, de Criciúma-SC. Métodos: Estudo transversal com 188 gestantes. Foram entrevistadas e examinadas as mulheres em período de puerpério imediato no Hospital São José, de Criciúma, Santa Catarina, no mês de dezembro de 2010. Foram estudadas as seguintes variáveis: idade; peso antes e ao fi nal da gestação; número de gestações; queda de cabelos; alterações ungueais; manchas de pele; aparecimento de estrias ou pápulas pruriginosas. Resultados: Foram identificados 104 casos de estrias (55,31%) e 61 casos de melasma (32,44%). Os locais de maior frequência de estrias foram em abdome 71 (51,45%), seios 35 (25,36%), nádegas 8 (5,8%) e pernas 24 (17,39%). A distribuição do melasma foi mais frequente em região centro-facial 52 (77,61%) e em região malar 7 (10,44%). Conclusões: Pacientes jovens, que tiveram maior ganho ponderal, foram as mais acometidas com estrias. Melasma acometeu pouco mais de um quarto da amostra e ocorreu com maior frequência em gestantes de faixa etária mais baixa (AU)


Introduction: During pregnancy a woman's body undergoes profound hormonal and mechanical changes, where the skin also undergoes changes. The aim of this study was to determine the prevalence of major skin changes during pregnancy among women cared for at Hospital São José, Criciúma, SC. Methods: Cross-sectional study involving 188 pregnant women. We interviewed and examined women in the early postpartum period at Hospital São José, Criciúma, SC in December 2010. The following variables were considered: age, weight before and at the end of pregnancy, number of pregnancies, hair loss, nail changes, skin blemishes, appearance of stretch marks or pruritic papules. Results: We identified 104 cases of stretch marks (55.31%) and 61 cases of melasma (32.44%). Stretch marks were most often found in the abdomen (71 cases, 51.45%), breasts (35, 25.36%), buttocks (8, 5.8%) and legs (24, 17.39%). Melasma was more frequent in the center-facial region (52, 77.61%) and malar region (7, 10.44%). Conclusions: Young patients who had greater weight gain were the most affected with stretch marks. Melasma struck just over a quarter of the sample and occurred more frequently in younger women (AU)


Subject(s)
Humans , Female , Pregnancy , Puerperal Disorders/epidemiology , Striae Distensae/epidemiology , Melanosis/epidemiology , Pregnancy Complications/epidemiology , Brazil/epidemiology , Weight Gain , Cross-Sectional Studies , Retrospective Studies
14.
Indian J Dermatol Venereol Leprol ; 2014 Spt-Oct ; 80 (5): 409-412
Article in English | IMSEAR | ID: sea-154919

ABSTRACT

Background: Striae distensae or stretch marks are atrophic linear dermal scars with epidermal atrophy. There are many therapeutic options for management, but no consistently effective modality is available yet. Objective: We compared the efficacy of 1064 nm long pulse (LP) Nd: YAG laser and 2940 nm variable square pulse (VSP) erbium: YAG laser in the treatment of striae distensae. Methods: Twenty female volunteers (Fitzpatrick skin types II-V) aged between 20 and 40 years with striae (3 patients with the rubra type and 17 with the alba type) were enrolled in the study. The duration of striae ranged from 4 months to 12 years. Lesions were located on the abdomen in all patients except one patient who had striae on the arms and two patients with striae in the lumbar region. Treatments were randomly allocated to both sides of the body in each patient, one side being treated with VSP erbium: YAG laser and the opposite side with LP Nd: YAG laser. All subjects were treated monthly for a total of three treatments. Two 3-mm punch biopsies were obtained from six subjects, both of the same striae, one before the first treatment and one 4 weeks after the last session. Results: Response was evaluated clinically by photographic comparison and was found to be poor in 17 subjects, both on the LP Nd: YAG laser treated side and VSP erbium YAG laser treated side. All these patients had mature lesions (striae distensae alba). Three subjects had a moderate response on both sides; these patients' striae were immature (striae distensae rubra). Histologically, elastic fibers were slightly increased in post-treatment samples compared with pretreatment skin biopsies. Conclusion: We observed no satisfactory clinical improvement in striae distensae alba lesions although histopathological changes were seen. We suggest that variable square pulse Er: YAG and long pulse Nd: YAG lasers are not useful in the treatment of striae distensae alba.


Subject(s)
Adult , Biopsy , Erythema/etiology , Female , Humans , Lasers, Solid-State/therapeutic use , Skin/pathology , Striae Distensae/pathology , Striae Distensae/surgery , Young Adult
15.
Article in Korean | WPRIM | ID: wpr-167125

ABSTRACT

Striae distensae is linear bands of atrophic or wrinkled skin, which is usually developed due to being overweight, pregnant or an endocrine alteration. Also, the prototype of striae distensae is observed as a linear band with skin atrophy. However, bullous type of striae distensae is rarely reported in the literature. The patient is a 27-year-old pregnant woman who had general edema and abdominal distension caused by systemic lupus erythematous (SLE) and pregnancy. On the lower abdomen and thigh, she presented with bullous striae distensae resulted from collagen fiber disintegration induced by generalized edema as the secondary mechanism. We report a case of bullous striae distensae in a pregnant woman with SLE.


Subject(s)
Abdomen , Atrophy , Collagen , Edema , Female , Humans , Lupus Erythematosus, Systemic , Overweight , Pregnancy , Pregnant Women , Skin , Striae Distensae , Thigh
16.
Article in Korean | WPRIM | ID: wpr-120452

ABSTRACT

Cutaneous chronic graft versus host disease (GVHD) is classified into lichenoid and sclerodermoid forms and may be associated with xerosis cutis, dyschromia, nail and hair changes. A 52-year-old woman was diagnosed with chronic myelogenous leukemia and underwent allogeneic non-myeloablative hematopoietic stem cell transplantation in October 2006. She presented with multiple linear atrophic striae on the erythematous to pigmented firm plaque on the abdomen for 1 year. A biopsy was taken from the linear atrophic striae and firm plaque, respectively. We report a rare case of striae distensae developed on the chronic sclerodermoid skin GVHD lesion diagnosed by clinicopathologic findings.


Subject(s)
Abdomen , Biopsy , Female , Graft vs Host Disease , Hair , Hematopoietic Stem Cell Transplantation , Humans , Leukemia, Myelogenous, Chronic, BCR-ABL Positive , Nails , Skin , Striae Distensae
17.
Annals of Dermatology ; : 81-83, 2012.
Article in English | WPRIM | ID: wpr-197930

ABSTRACT

Linear focal elastosis (LFE) is characterized by several asymptomatic, yellow, palpable, irregularly indurated, striae-like lines extending horizontally across the middle and lower back. A focal increase in elastic fibers is a hallmark of the disease as seen from biopsy specimens. The pathogenesis of LFE is unclear, as is the association between LFE and striae distensae (SD). However, the prevailing opinion is that LFE represents an excessive regenerative process of elastic fibers and is analogous to keloidal repair of SD. Although the timing of onset of LFE and SD was not synchronous in our patient, the triggering factor was the same, which was the growth spurt. This case is supporting the putative association between LFE and SD.


Subject(s)
Biopsy , Elastic Tissue , Humans , Keloid , Striae Distensae
18.
Rev. chil. dermatol ; 28(1): 27-31, 2012. ilus, graf
Article in Spanish | LILACS | ID: lil-718669

ABSTRACT

Introducción: Las estrías de distensión son frecuentes y representan un problema estético importante. Se han intentado múltiples terapias, no habiendo ninguna realmente efectiva. Objetivo: Evaluar respuesta al tratamiento con láser fraccional en estrías de distensión. Método: Estudio retrospectivo en trece pacientes con estrías. Fueron tratados con cuatro sesiones de láser fraccional Er: Glass Mosaic Lutronic ®. Se consignó edad, sexo, tipo de estría (roja o blanca), causa (posembarazo, adolescencia y otras) y fototipo. Fueron evaluados con control fotográfico y una escala de satisfacción subjetiva. Para el análisis estadístico se utilizó el test exacto de Fisher. Resultados: Se incluyeron trece pacientes. Nueve pacientes (69,2 por ciento ) consideraron una franca mejoría después del tratamiento, tres(23,1 por ciento) una mejoría parcial y un caso (7,7 por ciento), ausencia de cambios. No hubo diferencias significativas entre estrías blancas y rojas. Discusión: La terapia láser fraccional fue efectiva tanto para el tratamiento de estrías rojas como blancas.


Introduction: Stretch marks are common and represent a major cosmetic problem. Many therapies have been tried not being any truly effective. Objective: To evaluate response to treatment with fractional laser in distension stretch marks. Methods: A retrospective study in patients with stretch marks, who were treated with 4 sessions of fractional laser Er: Glass Mosaic Lutronic ®. We recorded age, sex, type of stretch mark (red or white), cause (post pregnancy, adolescence, etc.) and phototype. Patients were evaluated with photographic control and a subjective satisfaction scale. For statistical analysis we used the Fisher test. Results: We included 13 patients. 9 patients (69.2 percent had a marked improvement after treatment, three (23.1 percent) partial improvement and one case (7.7 percent), no change. There were no significant differences between white and red striae. Discussion: The fractional laser therapy was effective for the treatment of both red and white stretch marks.


Subject(s)
Humans , Male , Adult , Female , Striae Distensae/therapy , Laser Therapy , Cicatrix/therapy , Patient Satisfaction , Retrospective Studies , Treatment Outcome
19.
Iran Journal of Nursing. 2012; 25 (75): 45-51
in Persian | IMEMR | ID: emr-155488

ABSTRACT

Striae gravidarum appears in many pregnant women and it creates aesthetic concerns among them. This study was done with the aim of determination of the effects of olive oil and Saj cream on the occurrence of striae gravidarum in the second trimester of pregnancy. This study was a randomized trial. The study sample included 105 nulliparous women in their second trimester of pregnancy. All the women were in their 18th -20th week of pregnancy and refered to health centers of Tehran. Two intervention groups applied Saj cream [n=30] or olive oil [n=30] and control group [n=30] did not apply any creams. Data was collected by interview and observation and analyzed using SPSS-PC [v.13]. Striae manifested among 40% of those taking olive oil, 16.7% of those using Saj cream and 56% of those in the control group. There was a significant difference between the two intervention groups and the control group [P<.006]. The findings of this study indicated that application of Saj cream during the beginning of pregnancy to the end of the second trimester had been effective in reduction of striae gravidarum. Studies investigating the effect of other herbal oils on prevention of striae are recommended


Subject(s)
Humans , Female , Skin/pathology , Pregnancy Trimester, Second , Pregnancy , Striae Distensae
20.
Annals of Dermatology ; : S141-S143, 2011.
Article in English | WPRIM | ID: wpr-16451

ABSTRACT

Linear focal elastosis (LFE) is a rare dermal elastosis characterized by hypertrophic yellowish linear plaques and increased abnormal elastic tissues in the lumbosacral area. Although the pathogenesis of this disorder remains unknown, it may be associated with keloidal repair process (KRP) of elastic tissues in striae distensae (SD), because there have been some reported cases of LFE accompanied by SD. We herein report a 14-year-old boy with LFE following SD in the lumbar region. Our case supports the hypothesis of KRP in the pathogenesis of LFE. Immunohistochemical study for transforming growth factor-beta (TGF-beta) was negative. Therefore, we assume that the pathogenesis of KRP in LFE is different from that of keloid development, which is the TGF-beta signaling pathway.


Subject(s)
Adolescent , Elastic Tissue , Humans , Keloid , Lumbosacral Region , Striae Distensae , Transforming Growth Factor beta
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