{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T16:20:54Z","timestamp":1782750054362,"version":"3.54.5"},"reference-count":10,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,4,5]],"date-time":"2024-04-05T00:00:00Z","timestamp":1712275200000},"content-version":"vor","delay-in-days":4,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Striae distensae is a common cutaneous phenomenon that begins as reddish linear atrophic plaques (striae rubra) that over time progress to silvery\u2010white coloration (stria alba). Striae distensae in rare occasions becomes edematous, ulcerative, emphysematous, or urticated. Bullous striae distensae is a sequela of conditions causing interstitial edema along with systemic glucocorticoids use. To our knowledge, only eight cases of bullous striae distensae have been reported in the literature. Herein, we report a 17\u2010year\u2010old female, known case of nephrotic syndrome, presented to our clinic with abdominal fluid\u2010fill cutaneous lesions only for 5\u2009days. She had used systemic glucocorticoids for more than a decade before she was labeled as steroid resistant nephrotic syndrome. Cushingoid body habitus were observed during physical examination, in addition to translucent bullae overlying her previously known stretch marks. Punch biopsy of the lesions revealed dermal edema with thinned collagen bundles. Based on these clinicopathological findings, a diagnosis of bullous striae distensae was made. Awareness of this rare complication and unusual clinical presentation is fundamental to avoid unnecessary and excessive interventions whether investigatory or therapeutic in order to provide appropriate management of the underlying condition.<\/jats:p>","DOI":"10.1002\/ccr3.8667","type":"journal-article","created":{"date-parts":[[2024,4,5]],"date-time":"2024-04-05T07:19:46Z","timestamp":1712301586000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Bullous striae distensae in a nephrotic syndrome patient: First case report from the Middle East of a rare presentation and review of the literature"],"prefix":"10.1002","volume":"12","author":[{"given":"Sumayyah I.","family":"Alrefaie","sequence":"first","affiliation":[{"name":"Faculty of Medicine King Abdulaziz University  Jeddah Saudi Arabia"},{"name":"Department of Dermatology, Faculty of Medicine King Abdulaziz University  Jeddah Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah B.","family":"Aljoudi","sequence":"additional","affiliation":[{"name":"Faculty of Medicine King Abdulaziz University  Jeddah Saudi Arabia"},{"name":"Department of Dermatology, Faculty of Medicine King Abdulaziz University  Jeddah Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3180-8876","authenticated-orcid":false,"given":"Houriah Y.","family":"Nukaly","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Faculty of Medicine King Abdulaziz University  Jeddah Saudi Arabia"},{"name":"College of Medicine and Surgery Batterjee Medical College  Jeddah Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Waseem K.","family":"ALHawasawi","sequence":"additional","affiliation":[{"name":"Department of Dermatology King Fahad Armed Forces Hospital  Jeddah Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jehad O.","family":"Hariri","sequence":"additional","affiliation":[{"name":"Faculty of Medicine King Abdulaziz University  Jeddah Saudi Arabia"},{"name":"Department of Dermatology, Faculty of Medicine King Abdulaziz University  Jeddah Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,4,5]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/DSS.0000000000001079"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/postgradmedj-2016-134345"},{"key":"e_1_2_14_4_1","unstructured":"SeshadriD DeD RathiM GeorgeJ KanwarJ.Fluid within striae\u2013An unusual phenomenon.2013;32013."},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.161410"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1346-8138.1999.tb03523.x"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.4103\/idoj.IDOJ_239_19"},{"key":"e_1_2_14_8_1","first-page":"577","article-title":"Infected edematous striae distensae","volume":"11","author":"Almashat SA","year":"2021","journal-title":"J Clin Exp Dermatol Res"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.25259\/IJDVL_699_2022"},{"issue":"5","key":"e_1_2_14_10_1","first-page":"247","article-title":"Severe striae and steroid acne as side effects caused by long\u2010term systemic corticosteroid treatment: a case report and review of the literature","volume":"3","author":"Tabri F","year":"2019","journal-title":"Int J Med Rev Case Rep"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/srt.12645"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.8667","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,27]],"date-time":"2025-11-27T14:27:34Z","timestamp":1764253654000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.8667"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4]]},"references-count":10,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,4]]}},"alternative-id":["10.1002\/ccr3.8667"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.8667","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"value":"2050-0904","type":"print"},{"value":"2050-0904","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,4]]},"assertion":[{"value":"2023-11-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication 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