Striae Distensae Over Scalp: A Trichoscopic Revelation

    April 2018 in “ Our Dermatology Online
    Subrata Malakar, Priya Diwaker
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    Studysummary Trichoscopy can detect early signs of steroid overuse on the scalp, suggesting a need for non-steroidal treatments.
    Our plain-language summary. Not medical advice or a treatment recommendation. Consult a qualified healthcare professional before changing treatment. Full disclaimer
    The document discussed the occurrence of striae distensae, or stretch marks, on the scalp, which were identified through trichoscopy in patients using topical steroids. Three cases were reported: a 35-year-old female with alopecia areata, a 17-year-old male with patchy hair loss, and a 28-year-old female with female pattern hair loss. All exhibited signs of steroid misuse, such as telangiectasia and linear atrophic bands. The study highlighted the importance of trichoscopy as a diagnostic and monitoring tool to detect early signs of steroid overuse, suggesting that treatment options may need to be revised to non-steroidal medications to prevent further dermal damage.
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