“…These lesions closely resemble those seen in patients with Cushing's syndrome (Summers et al, 1964) or patients persistently treated with steroids (Chernosky and Knox, 1964). Stretch marks are characterized by a thin epidermis, loss of dermal papillae, loss of rete ridges (Zheng et al, 1985), and a decrease in the net content of collagen, fibronectin (Lee et al, 1994), fibrillin 1 (Watson et al, 1998), and elastic fibers (Mitts et al, 2005). Especially severe and extended loss of elasticity occurs after enzymatic degradation of the elastic fibers in mid-dermal elastolysis (Patroi et al, 2003), elastosis perforans serpiginosa, and cutis marmorata teleangiectasia congenita (Hinek et al, 2008).…”