Abdi Mohammad, Lotfolahi Zahra, Zareie Maryam, Saeidi Mohammad, Amini Kourosh, Torkmandi Hojjat, Ghodrati Samad
Department of Emergency and Critical Care, Faculty of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran.
Department of Medical Education, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Tanaffos. 2022 Feb;21(2):239-248.
Anabolic-androgenic steroids (AAS) are one of the ingredients of herbal and dietary supplements that are popular among sports trainers. AAS abuse predisposes everyone to several complications. Reviews of the literature on AAS users have shown mainly skin, renal, and hepatic complications. In this case report, we presented a case with simultaneous complications, including diffuse alveolar hemorrhage (DAH), acute respiratory distress syndrome (ARDS), pericardial effusion, gastrointestinal bleeding (GIB), and acute kidney injury (AKI). Given the potential for lethal complications and the consequences of ethical, civil, and criminal law, it seems that specific policies will be considered for the use of bodybuilding drugs. It is also suggested that this approach be added as a new part of the medical curriculum. Also, ARDS and DAH are unreported side effects in other studies, which is suggested to be considered by specialists.
合成代谢雄激素类固醇（AAS）是运动训练师中流行的草药和膳食补充剂成分之一。滥用AAS会使每个人都易患多种并发症。对AAS使用者的文献综述主要显示了皮肤、肾脏和肝脏并发症。在本病例报告中，我们展示了一例同时出现多种并发症的病例，包括弥漫性肺泡出血（DAH）、急性呼吸窘迫综合征（ARDS）、心包积液、胃肠道出血（GIB）和急性肾损伤（AKI）。鉴于存在致命并发症的可能性以及伦理、民法和刑法方面的后果，似乎将考虑针对使用健美药物制定具体政策。还建议将这种方法作为医学课程的新部分添加进去。此外，ARDS和DAH在其他研究中未被报告为副作用，建议专家予以考虑。
