Using high‐resolution ultrasound imaging to characterize dermal striae in human skin

Abstract

Dermal striae (DS) or stretch marks are a dermatological condition seen microscopically as the separation of collagen fibers and rupture of elastic fibers, which are curled and clumped at the edge of the lesion. 1 In this condition, fibrillin and elastin appear in reduced amounts and are reorganized in the deep dermis. The result is discontinuity of the dermal tissue and reduction in the thickness of the epidermis and papillary dermis. 1,2 Dermal striae are in the second layer of skin, the dermis. 1,3 It can occur in small or large quantities, elevated or depressed in aspect, and vary in shape and size. DS lesions tend to appear in a parallel formation and perpendicular to the skin tension lines (STL) 4,5 which are lines that determine the maximum tension direction of human skin. 6

The influence of cosmetics dedicated to oily and acne‐prone skin on skin parameters

“…The areas that contain fluid give an anechoic picture. [29][30][31] The epidermal echo of entry is hyperechoic and appears as a thin, irregular superficial layer. The dermis is much smaller and diversified echogenicity, which is conditioned by the complex and heterogeneous structure.…”

“…Hypoechoic nature usually comes from soft structures with increased blood supply and hydration, while the hyperechoic nature of the image is characterized by hard, dense structures with a lower water content, such as calluses, collagen fibers, or bone tissue. The areas that contain fluid give an anechoic picture 29–31 …”

Ultra‐high frequency ultrasound in the differential diagnosis of oral pemphigus and pemphigoid: An explorative study

“…34 These features make UHFUS suitable for the imaging of small structures and lesions localized in the shallower layers of the epithelium and account for the wide application of this technique in dermatology, where it is employed for the diagnosis, treatment, and follow-up of several skin diseases. [48][49][50][51][52][53] To the best of our knowledge, ultrasound techniques, and namely UHFUS, have never been applied to the intraoral evaluation of bullous diseases. However, limitation in the study sample does and has the potential to become a chair-side tool consistently enhancing the clinical evaluation of oral bullous lesions.…”

Development of a clinical scale to assess the severity of striae distensae

“…More severe cases are usually associated with systemic disease, pregnancy, or the use of systemic corticosteroids. [5][6][7] Despite no available curative treatment, there are several therapeutic options for SD. 8,9 However, due to the lack of reliable instruments to assess its severity, comparing results from clinical trials are problematic.…”

“…They can cause psychological impact and impair quality of life, often limiting clothing choices and social life. More severe cases are usually associated with systemic disease, pregnancy, or the use of systemic corticosteroids 5‐7 …”