title: Severe laryngitis following chronic anabolic steroid abuse.
abstract: The effects of anabolic steroids on the quality of voice have been well documented; however, no study has established significant structural changes in the larynx as a direct result of anabolic steroid use. We report a unique case of a 47-year-old male smoker and professional body builder who presented with progressive stridor and hoarseness following abuse of anabolic steroids over a period of two years. Conservative management failed to resolve his symptoms and a planned tracheostomy was performed to secure his airway. Subsequently he was treated with multiple laser resections and eventually decannulated. No case of severe laryngitis in association with anabolic steroid usage has been reported previously in the literature.
authors.affiliation: ENT Department, Luton and Dunstable Hospital NHS Trust, Luton, UK.
authors.forename: S
authors.initials: S
authors.lastname: Ray
authors.forename: A
authors.initials: A
authors.lastname: Masood
authors.forename: J
authors.initials: J
authors.lastname: Pickles
authors.forename: I
authors.initials: I
authors.lastname: Moumoulidis
mesh_terms: D045930:Anabolic Agents / Q000009:adverse effects* / Q000378:metabolism; D002908:Chronic Disease; D006801:Humans; D007827:Laryngitis / Q000139:chemically induced* / Q000000981:diagnostic imaging / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011859:Radiography; D019966:Substance-Related Disorders / Q000150:complications*; D014139:Tracheostomy / Q000379:methods; D016896:Treatment Outcome; D014891:Weight Lifting
chemical_list: D045930:Anabolic Agents