Skin Issues: What Are Those String-Like Marks? - Dermatology

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There are noodle-like structures near the knee (inner thigh) and the arm (close to the armpit)!


Hello, Doctor: This issue has been bothering me for a long time, especially on my back (lower back area).
I have linear formations that are about 5-6 cm long and 2-3 cm short.
I'm unsure if this is a sexually transmitted infection or just a common skin condition.
Could you please provide some advice to help me prepare mentally? I have been hesitant to see a doctor because I fear it might be an STI, but I have not engaged in sexual intercourse yet.

Jiao Zuo Da, 10~19 year old female. Ask Date: 2005/06/29

Dr. Jiang Zheen reply Dermatology


Fool! It's not a sexually transmitted disease; it's just stretch marks from puberty.
It’s nothing to worry about.
Wishing you peace.

Reply Date: 2005/06/29

More Info


When it comes to skin issues, particularly those that manifest as string-like marks or lines on the skin, it is essential to approach the situation with a clear understanding of potential causes and implications. Based on your description, it sounds like you are experiencing linear skin markings on your lower back, which can be concerning and confusing.

Firstly, it is crucial to clarify that the appearance of string-like marks on the skin is not typically associated with sexually transmitted infections (STIs), especially if you have not engaged in sexual activity. Instead, these markings could be indicative of several benign dermatological conditions. One common explanation for such markings is the phenomenon known as "dermographism" or "skin writing," which is a form of physical urticaria. This condition occurs when the skin reacts to pressure or friction, leading to raised lines or welts that can appear after scratching or even light pressure. These marks usually resolve within a short period and are not harmful.

Another possibility is that these string-like marks could be related to stretch marks (striae), which are common and can occur due to rapid changes in body size, weight fluctuations, or hormonal changes. Stretch marks can appear as thin, linear streaks on the skin and may vary in color from red or purple to white or silver over time. They are not a sign of a disease but rather a normal skin response to changes in the body.

If the markings are accompanied by other symptoms such as itching, redness, or discomfort, it may be indicative of a different skin condition, such as eczema or a mild allergic reaction. In such cases, it is advisable to consult a dermatologist who can provide a thorough examination and accurate diagnosis.

It is understandable to feel apprehensive about seeking medical advice, especially when concerns about STIs arise. However, it is important to remember that dermatologists are trained to handle a wide range of skin issues and can provide a safe and confidential environment for discussing your concerns. They can help alleviate your fears by providing a proper diagnosis and treatment plan if necessary.

In summary, while the string-like marks on your skin may be concerning, they are unlikely to be related to a sexually transmitted infection, especially given your history. Conditions such as dermographism or stretch marks are more plausible explanations. Seeking the advice of a dermatologist will not only help clarify the nature of your skin condition but also provide you with peace of mind. Remember, early intervention and accurate diagnosis are key to managing any skin issue effectively.

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