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Mar 2012

Ulceration of Abdominal Striae Distensae (Stretch Marks) in a Cancer Patient —Diagnosis

Author Affiliations
 

SECTION EDITOR: MARY S. STONE, MD; ASSISTANT SECTION EDITORS: SOON BAHRAMI, MD; CARRIE ANN R. CUSACK, MD; SENAIT W. DYSON, MD; MOLLY A. HINSHAW, MD; ARNI K. KRISTJANSSON, MD

Arch Dermatol. 2012;148(3):385-390. doi:10.1001/archderm.148.3.385-g

Histologic sections of a hematoxylin-eosin –stained biopsy specimen revealed ulceration of the epidermis with adjacent pseudoepitheliomatous hyperplasia (Figure 3). The ulcer bed showed serum crust and neutrophils with dermal fibroplasia. In the papillary and reticular dermis, there was prominent proliferation of hyalinized thick collagen bundles with dilated vascular channels. Elastin stains showed diminution of elastin fibers. Stainings for microorganisms (Grocott methenamine silver, acid-fast bacilli –Fite, Gram, periodic acid –Schiff, cytomegalovirus, and herpes simplex virus, HSV-1 and HSV-2) proved negative. Wound care provided partial improvement. He was discharged with hospice services to assist with dressing changes. The patient died from progression of his tumor soon after discharge.

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