When we think of skin changes in pregnancy, what immediately comes to mind are stretch marks or Striae Gravidarum . Stretch marks occur because of a breakdown of collagen, a substance that holds the skin together and is responsible for its stretching. Teen pregnant patients are more at risk for having stretch marks. Why is that important? Because, according to medical literature, stretch marks can increase the risk of having lacerations (or tears) during birth.
Another fairly common skin condition during pregnant is called Pruritus gravidarum or generalized itching during pregnancy without the presence of a rash. Approximately 14% of pregnant women are affected by this condition and it is associated with twin pregnancies, fertility treatments and diabetes. As stated in my previous blog, itching during pregnancy should not be ignored, especially in the third trimester because it could signify a condition called Cholestasis of Pregnancy that involves an increase in bile or liver enzymes. This condition is also associated with preterm labor.
Hormonal changes of pregnancy that involve estrogen or progesterone can produce Read more »
*This blog post was originally published at Dr. Linda Burke-Galloway*
Stretch marks (striae distensae) are common. They represent linear dermal scars accompanied by epidermal atrophy. Stretch marks aren’t a significant medical problem, but can be a source of significant emotional distress.
There are many treatments available, ranging from therapy applied to the skin, laser therapy, and even more invasive surgical methods. Unfortunately, stretch marks remain a tricky problem to target, in which no established treatment exists.
A recent article in the May issue of the Aesthetic Surgery Journal (full reference below) discusses the use of fractional nonablative laser treatment for stretch marks.
Dr. Francesca de Angelis and colleagues conducted a clinical study involving 51 patients with striae, three male and 48 female, who were treated between May 2007 to May 2008. Several patients had striae on multiple areas of the body so a total of 79 striae locations were treated.
Patient ages ranged from 13 to 56 years (mean, 33 years). Fitzpatrick skin type ranged from II to IV. The duration of striae ranged from one to 40 years, with an average duration of 12 years. The striae formed as a result of pubertal growth (41%, n = 21), pregnancy (31%, n = 16), weight change (20%, n = 10), muscular atrophy (2%, n = one ), or unknown causes (6%, n = three).
Anatomical locations for treatment included the hips, breasts, abdomen, flanks, knees, buttocks, arms, thighs, and shoulders, with the majority of treatments occurring on the first three sites.
The stated objective of this study was to determine Read more »
*This blog post was originally published at Suture for a Living*