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Image Number 4825 (Striae distensae)

 
Morphology:
Atrophy

Diagnosis: Striae distensae

Site: Shins

Sex: F

Age: 15

Type:

Description: Transverse linear atrophy.

Submitted by: Nameer Al-Sudany

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Differential Diagnosis

History:

 A teenager girl presented with symmetrical pinkish transverse atrophied plaques on both legs of 3-4 months duration. She gave history of an intake of a mixture of herbs prepared as capsules by a medical substaff to increase the appetite with the aim of gaining weight!!! Acneiform eruption was also seen on her back and chest which increased the possibility of a corticosteroid had been added to that mixture!!! a practice not uncommon in some developing countries!!! The striking feature in this case was that the horizontal (trnasverse) orientation of striae on the legs!!! 



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