title: Growth hormone abuse and bodybuilding as aetiological factors in the development of bilateral internal laryngocoeles. A case report.
abstract: A 36-year-old man presented with hoarseness and stridor. He was an elite professional bodybuilder and admitted to having abusing anabolic steroids and growth hormone in the recent past. A CT scan showed bilateral laryngocoeles. The patient was initially managed with intravenous corticosteroids and broad-spectrum antibiotics, and the stridor resolved sufficiently to permit discharge from the hospital. He proceeded to undergo endoscopic marsupialisation of his laryngocoeles and to date has made a full recovery. This is the first reported case where anabolic steroid and growth hormone abuse combined with an elite bodybuilder's exercise regime has been implicated in the aetiology of bilateral laryngocoeles.
authors.affiliation: Department of Otolaryngology Head and Neck Surgery, Bradford Royal Infirmary, West Yorkshire, UK. docmoor@ntlworld.com
authors.forename: James W
authors.initials: JW
authors.lastname: Moor
authors.forename: M Iqbal J
authors.initials: MI
authors.lastname: Khan
mesh_terms: D000328:Adult; D045930:Anabolic Agents / Q000009:adverse effects*; D004300:Doping in Sports; D013006:Growth Hormone / Q000009:adverse effects*; D006547:Hernia / Q000139:chemically induced / Q000209:etiology*; D006801:Humans; D007818:Laryngeal Diseases / Q000139:chemically induced / Q000209:etiology*; D008297:Male; D019966:Substance-Related Disorders; D014891:Weight Lifting
chemical_list: D045930:Anabolic Agents; D013006:Growth Hormone
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