Research Article | DOI: https://doi.org/BRCA-25-RA-26
Evaluation of Some Inflammatory Markers in Young Adults Females with Striae Distensae
Abstract
Striae distensae (SD), commonly known as stretch marks, are dermal scars that develop due to rapid stretching of the skin, often observed in young adult females during periods of hormonal or physical changes such as puberty, pregnancy, or weight fluctuations. Although typically considered cosmetic, emerging evidence suggests a possible link between SD and systemic alterations in inflammatory and hematological parameters. This study aimed to evaluate the levels of selected inflammatory markers and hematological parameters in young adult females presenting with striae distensae at Imo State University, Owerri. A total of one hundred (100) participants were recruited for the study, comprising fifty (50) young adult females with confirmed SD and fifty (50) apparently healthy age-matched females without SD serving as controls. Informed consent was obtained from all participants. S EVEN milliliters (7ml) of venous blood were collected aseptically from each participant. 2ml was dispensed into EDTA container and mixed with inversion. The anticoagulant samples were used for determination of heamatological parameters. The remaining 5ml was dispensed into the vaccutainer tube with minimal stasis, allowed to clot, and centrifuged at 3000 rpm for 5 minutes to obtain serum. Inflammatory markers (CRP, IL-6, and TNF-α) were analyzed using enzyme-linked immunosorbent assay (ELISA) methods. Data collected were analyzed using the Statistical Package for Social Sciences (SPSS) version 27.0 and expressed as mean ± standard deviation (SD). A P-value less than 0.05 (P < 0.05) was considered statistically significant. Results showed that Patients with Striae Distensae exhibited significantly elevated inflammatory markers compared to controls. The mean CRP level in the test group was 45.86 ± 0.85 mg/L versus 31.78 ± 1.74 mg/L in controls (P < 0.05). IL-6 was 8.87 ± 0.15 pg/mL in patients and 6.72 ± 0.13 pg/mL in controls (P < 0.05), while TNF-α measured 150.66 ± 2.84 in patients versus 121.69 ± 1.46 in controls (P < 0.05). This study has demonstrated significant elevations in inflammatory markers alterations in a cohort of patients with chronic inflammation. The cytokine dysregulation observed particularly involving CRP, IL-6, and TNF-α is reflective of active systemic inflammation and provides a plausible mechanistic link to dermal tissue remodeling, which is relevant to SD.
References
-
Clementoni, M. T., Motta, L. R., Pedrelli, V., and Zaccaria, G. (2022). Striae distensae. Effects and Side-Effects of Lasers, Flash Lamps and Other Sources of Energy. Energy for the Skin, 6: 301-313).
View at Publisher | View at Google Scholar -
Soliman, A. M., and Barreda, D. R. (2022). Acute inflammation in tissue healing. International journal of molecular sciences, 24(1): 641-652.
View at Publisher | View at Google Scholar -
Tai, Y., Woods, E. L., Dally, J., Kong, D., Steadman, R., Moseley, R., and Midgley, A. C. (2021). Myofibroblasts: function, formation, and scope of molecular therapies for skin fibrosis. Biomolecules, 11(8): 1095-1110.
View at Publisher | View at Google Scholar -
El Nagdy, H. A. A., Atwa, E. M., Morsi, H. M., and El Qishishi, K. A. (2023). Brief Overview About Striae Distensae. Journal of Pharmaceutical Negative Results, 14(2): 42-45.
View at Publisher | View at Google Scholar -
Elbuluk, N., Saizan, A. L., Hurtado, A. C. M., Hamilton, T., and Kang, S. (2025). Differences in clinical features and risk factors for striae distensae in Black and White women. Archives of Dermatological Research, 317(1): 1-10.
View at Publisher | View at Google Scholar -
Silva, V., Schukow, C. P., and Restini, C. B. A. (2023). Striae distensae as a diagnostic indicator for eating disorder pathologies. International Journal of Dermatology, 62(6): 713–844, e321–e369.
View at Publisher | View at Google Scholar -
Katzer, K., Hill, J. L., McIver, K. B., and Foster, M. T. (2021). Lipedema and the potential role of estrogen in excessive adipose tissue accumulation. International journal of molecular sciences, 22(21): 11720-11722.
View at Publisher | View at Google Scholar -
Aşkın, Ö., Özçakır, E. C., Uzunçakmak, T. K., Kutlubay, Z., and Serdaroğlu, S. (2021). Evaluation of quality of life in children and adolescents diagnosed with striae distensae. Turkish Archives of Pediatrics, 56(5): 447-499.
View at Publisher | View at Google Scholar -
Borrelli, M. R., Griffin, M., Ngaage, L. M., Longaker, M. T., and Lorenz, H. P. (2021). Striae distensae: Scars without wounds. Plastic and Reconstructive Surgery, 148(1): 77-87.
View at Publisher | View at Google Scholar -
Cheng, J., Zhou, C., Liu, J., Geng, Y., Liu, L., and Fan, Y. (2024). Expression of neutrophil extracellular trap-related proteins and its correlation with IL-17 and TNF-α in patients with oral lichen planus. Peer Journal, 12: 18-19.
View at Publisher | View at Google Scholar -
Singh, D., Rai, V., and Agrawal, D. K. (2023). Regulation of collagen I and collagen III in tissue injury and regeneration. Cardiology and cardiovascular medicine, 7(1): 5-11.
View at Publisher | View at Google Scholar -
Smoller, B., and Bagherani, N. (2021). Atlas of Dermatology, Dermatopathology and Venereology: Cutaneous Anatomy, Biology and Inherited Disorders and General Dermatologic Concepts. Springer.
View at Publisher | View at Google Scholar -
Wang, Z., Qi, F., Luo, H., Xu, G., and Wang, D. (2022). Inflammatory microenvironment of skin wounds. Frontiers in immunology, 13: 789274-789293.
View at Publisher | View at Google Scholar -
Elsedfy, H. (2020). Striae distensae in adolescents: a mini review. Acta Bio Medica: Atenei Parmensis, 91(1): 176-177.
View at Publisher | View at Google Scholar -
Huang, J., Heng, S., Zhang, W., Liu, Y., Xia, T., Ji, C., and Zhang, L. J. (2022). Dermal extracellular matrix molecules in skin development, homeostasis, wound regeneration and diseases. Cell and Developmental Biology, 128: 137-144.
View at Publisher | View at Google Scholar -
Li, Y. H., Chuang, S. H., Huang, Y. C., and Yang, H. J. (2025). A comprehensive systemic review and meta-analysis of the association between lipid profile and hidradenitis suppurativa. Archives of Dermatological Research, 317(1): 225-228.
View at Publisher | View at Google Scholar -
Pfisterer, K., Shaw, L. E., Symmank, D., and Weninger, W. (2021). The extracellular matrix in skin inflammation and infection. Frontiers in cell and developmental biology, 9, 682414.
View at Publisher | View at Google Scholar -
Xiao, T., Yan, Z., Xiao, S., and Xia, Y. (2020). Proinflammatory cytokines regulate epidermal stem cells in wound epithelialization. Stem cell research and therapy, 11(1): 232-242.
View at Publisher | View at Google Scholar -
Zahra, M., Zubair, A., Aslam, N., and Naz, M. (2025). Investigating the impact of perceived social stigmatization and social appearance anxiety on quality of life among patients with facial skin diseases. Archives of Dermatological Research, 317(1): 1-9.
View at Publisher | View at Google Scholar -
Potekaev, N. N., Borzykh, O. B., Medvedev, G. V., Pushkin, D. V., Petrova, M. M., Petrov, A. V., and Shnayder, N. A. (2021). The role of extracellular matrix in skin wound healing. Journal of Clinical Medicine, 10(24): 5947-5972.
View at Publisher | View at Google Scholar -
Rodriguez, A. J., Boonya-Ananta, M. T., Gonzalez, M., Le, V. N. D., Fine, J., Palacios, C., and Ramella-Roman, J. C. (2022). Skin optical properties in the obese and their relation to body mass index: A review. Journal of Biomedical Optics, 27(3): 030902–030902.
View at Publisher | View at Google Scholar -
Sawetz, I., Lebo, P. B., Nischwitz, S. P., Winter, R., Schaunig, C., Brinskelle, P., and Lumenta, D. B. (2021). Platelet‐rich plasma for striae distensae: What do we know about processed autologous blood contents for treating skin stretchmarks? A systematic review. International Wound Journal, 18(3): 387-395.
View at Publisher | View at Google Scholar -
Huang, Q., Xu, L. L., Wu, T., and Mu, Y. Z. (2022). New progress in therapeutic modalities of striae distensae. Clinical, Cosmetic and Investigational Dermatology, 23: 2101-2115.
View at Publisher | View at Google Scholar -
Johnson, B. Z., Stevenson, A. W., Prêle, C. M., Fear, M. W., and Wood, F. M. (2020). The role of IL-6 in skin fibrosis and cutaneous wound healing. Biomedicines, 8(5): 101-104.
View at Publisher | View at Google Scholar