Friedman Or, Arad Ehud, Ben Amotz Oded
Department of Plastic and Reconstructive Surgery, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Plast Reconstr Surg Glob Open. 2016 Sep 29;4(9):e1040. doi: 10.1097/GOX.0000000000001040. eCollection 2016 Sep.
In the pursuit of success in sports, some athletes are not deterred by health risks associated with the (mis)use of black market preparations of dubious origin as performance-enhancing agents. Several studies published in the recent years demonstrated that anabolic-androgenic steroids, but also stimulants and growth hormones, are misused by numerous recreational athletes from all over the world. Trenbolone is an anabolic steroid routinely used in the finishing phase of beef production to improve animal performance and feed efficiency. A 35-year-old male patient presented to our plastic surgery clinic after self-intramuscular administration of Trenbolone to the superior gluteal area bilaterally, which led to a full-thickness defect in a cone-like distribution. The wounds underwent surgical debridement and were treated locally with mafenide acetate irrigation and wound dressings. Closure was achieved by secondary intention healing. In this report, we discuss the first documented case of full-thickness skin and subcutaneous tissue necrosis after black market anabolic steroid injection. This illustrates a plastic complication and resolution of a widespread but seldom reported problem.
在追求体育成功的过程中，一些运动员并未因使用来源可疑的黑市制剂作为提高成绩的药物而带来的健康风险而却步。近年来发表的几项研究表明，合成代谢雄激素类固醇以及兴奋剂和生长激素被世界各地众多业余运动员滥用。群勃龙是一种合成代谢类固醇，常用于牛肉生产的育肥阶段，以提高动物性能和饲料效率。一名35岁男性患者在双侧臀上区自行肌内注射群勃龙后前来我们的整形外科诊所就诊，这导致了呈锥形分布的全层缺损。伤口接受了手术清创，并局部用醋酸磺胺米隆冲洗和伤口敷料治疗。通过二期愈合实现了伤口闭合。在本报告中，我们讨论了首例有记录的黑市合成代谢类固醇注射后全层皮肤和皮下组织坏死的病例。这说明了一种整形并发症以及一个普遍但很少报道的问题的解决情况。
