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Source: Professional Guide to Diseases (Eighth Edition), 2005
Ask the patient when—and on what part of his body—he first noticed purple striae. To help determine the rate of progression, find out if he has photographs of himself before and over the course of striae development. Next, obtain a complete drug history. If the patient is receiving glucocorticoid therapy, find out the drug’s name, the daily dose and schedule, and the reason for treatment. Ask if the dosage has been altered recently and if the drug is given intramuscularly. Find out if the patient uses a topical corticosteroid, especially a fluorinated product; ask about concomitant use of occlusive dressings and, with large skin surface areas, the amount of corticosteroid applied.
Examine the patient and note all areas where purple striae appear. When checking for striae, remember that the patient’s skin is extremely thin and susceptible to bruising.
Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006
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