6 However, abuse of steroids is less infrequent in Asian countries due to lack of cultural prominence on muscularity. According to recent study revealed that 1% of general population is on systemic glucocorticosteroids for the year 2011. 5 Furthermore, the severity of adverse effects depends on duration and dose of drug abuse. 4 On prolonged misuse of AAS leads to life threatening conditions and adverse effects ranging from mild hepatitis to cardiac death. 3 Unfortunately, it is frequently misused in spite of its rational use due to easily accessible being available as Over The Counter (OTC). 2 US FDA has approved use of AAS primarily for the treatment of male hypogonadism, wasting syndrome in HIV infection and anemia. 1 These steroids are widely used from medical emergencies to misuse by athletes. In conclusion we recommend the health care professionals to review the safety profile, examine laboratory results and counsel patients to prevent further abusage of anabolic androgenic steroids.Īnabolic Androgenic Steroids (AAS) are testosterone-derived compounds that act on testosterone receptors for efficiently increasing muscle mass, improving physical appearance by stimulating protein synthesis through a physiological rise in testosterone hormone. The patient was treated with the Dexamethasone, combination of Piperacillin and Tazobactam, combination of Metadoxine, Silymarin and l-Ornithinel-Aspartate (LOLA), Clonazepam, Ketoconazole and his health condition improved enough for him to be discharged. The laboratory investigations were noted that elevation of liver function tests, abnormal haematological tests, ultrasonography was revealed to be hepatomegaly with grade II fatty liver. Patient had history of left hydropneumothorax secondary due to pulmonary tuberculosis, iatrogenic cushing syndrome and was misusing anabolic androgenic steroids for muscle gain for a long time. We present the case of 32-years-old male patient who was admitted in respiratory ward with complaints of breathlessness and weakness. Anabolic androgenic steroids are a type of synthetic testosterone which are most likely used by athletes, body builders and physicians to increase male sex hormones in those who have not yet reached puberty.
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