Medical Must-See: Not your standard striae gravidarum

The stretch marks signalled something sinister.
Stretch marks

This pregnant woman’s stretch marks are not just a sign of her burgeoning baby bump but of another unexpected growth.

The 27-year-old primigravida patient presented to hospital with new-onset diabetes and hypertension at 32 weeks’ gestation.

The violaceous striae were accompanied by worsening proximal muscle weakness and facial plethora of several months.

On examination, the marks could be seen over her abdomen, breasts, and dorsal and supraclavicular fat pads.