Anabolic steroid complications: Difference between revisions
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*Left ventricular hypertrophy | *Left ventricular hypertrophy | ||
*Polycythemia | *Polycythemia | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
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*LFTs | *LFTs | ||
*Creatinine | *Creatinine | ||
*ECG | *ECG | ||
* | *Consider for outpatient workup: | ||
**A1C | |||
**Lipid panel | |||
**Echocardiogram to assess for left ventricular hypertrophy | |||
===Diagnosis=== | ===Diagnosis=== | ||
Latest revision as of 17:27, 7 September 2022
Background
- Anabolic steroids are used for both recreational purposes as well as competitive purposes for those in various sports
Clinical Features
- Adverse effects can vary depending on the specific anabolic steroid
- Oral agents can cause hepatotoxicity
- Testosterone is generally utilized as the primary anabolic steroid and combined with various other anabolic agents such as trenbolone, oxandrolone, oxymetholone, metandienone, and many others
Adverse Effects
- Hypogonadism (occurs after discontinuation)
- Hepatotoxicity (primarily with oral agents)
- Renal toxicity, most commonly with trenbolone
- Acne
- Hair loss
- Dyslipidemia
- Left ventricular hypertrophy
- Polycythemia
Differential Diagnosis
Evaluation
Workup
- CBC
- LFTs
- Creatinine
- ECG
- Consider for outpatient workup:
- A1C
- Lipid panel
- Echocardiogram to assess for left ventricular hypertrophy