Abstract

BackgroundStriae distensae (SD) or stretch marks are a common dermatological condition where the dermis becomes scarred. This phenomenon is associated with many risk factors. This study aimed to evaluate the clinical variables and risk factors in patients with SD in Riyadh, Kingdom of Saudi Arabia (KSA).MethodsA cross-sectional study was conducted to assess the clinical variables and risk factors for stretch marks among adults in Riyadh, KSA. An electronic questionnaire with an informed consent section was distributed randomly to a sample of adult patients in Riyadh city, KSA, from April to June 2021. A sample size of 512 participants was calculated using the Cochran formula (n = Z2pq/e2), considering 95% confidence and precision of at least ±5%. A 95% confidence level yielded Z values of 1.96, per the normal tables.ResultsA total of 512 participants were included in this study. This study found that 41.4% of the participants were aged 15 to 25 years of which, 70.4% of the participants were females, and 38.2% had a body mass index (BMI) of 24 or more. More than half of the participants (54.0%) indicated white skin color. The most prevalent area of striae, as reported by the participants, was the abdomen (57%). Around 19.1% of the participants with stretch marks stated that they were smokers, and 23.9% stated that they were obese o, had a chronic condition such as hypertension or diabetes mellitus. The majority of the participants (70.5%) had a family history of stretch marks.ConclusionsThis study showed that the prevalence of stretch marks was higher in females, younger participants, smokers, participants with a family history of stretch marks, and participants with a higher BMI and multiparity. More studies should be conducted to assess the correlations between these factors and the presence of stretch marks, and their influence on the quality of life of individuals.

Highlights

  • Striae distensae (SD) is a common permanent dermatological condition characterized by scarring of the dermis, which results in linear bands that are initially erythematous to violaceous in color and fade steadily to become skin-colored or hypopigmented atrophic lines that may be thin or wide [1]

  • This study found that 41.4% of the participants were aged 15 to 25 years of which, 70.4% of the participants were females, and 38.2% had a body mass index (BMI) of 24 or more

  • This study showed that the prevalence of stretch marks was higher in females, younger participants, smokers, participants with a family history of stretch marks, and participants with a higher BMI and multiparity

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Summary

Introduction

Striae distensae (SD) is a common permanent dermatological condition characterized by scarring of the dermis, which results in linear bands that are initially erythematous to violaceous in color and fade steadily to become skin-colored or hypopigmented atrophic lines that may be thin or wide [1] These stretch marks commonly appear on the abdomen, breasts, thighs, and buttocks. Long, and narrow scars that develop in areas of dermal damage due to sudden excessive stretching of the skin They are common in females aged five to 50 years and frequently occur in association with adolescent growth spurts and pregnancy, and occur in several pathological conditions such as obesity, Marfan and Cushing’s syndromes, and as a result of long-term systemic or topical steroid use. This study aimed to evaluate the clinical variables and risk factors in patients with SD in Riyadh, Kingdom of Saudi Arabia (KSA)

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