title: Anabolic steroids abuse-induced cardiomyopathy and ischaemic stroke in a young male patient.
abstract: We report a case of a 37-year-old man presented with acute stroke and hepatorenal impairment which were associated with anabolic-androgenic steroids (AAS) abuse over 2 years. Despite the absence of apparent symptoms and signs of congestive heart failure at presentation, an AAS-induced dilated cardiomyopathy with multiple thrombi in the left ventricle was attributed to be the underlying cause of his condition. Awareness of the complications of AAS led to the prompt treatment of the initially unrecognised dilated cardiomyopathy, and improved the liver and kidney functions. However, the patient was exposed to a second severe ischaemic event, which led to his death. This unique and complex presentation of AAS complications opens for better recognition and treatment of their potentially fatal effects.
authors.affiliation: Department of Neurology, Cairo University, Cairo, Egypt.
authors.forename: Reham Mohammed
authors.initials: RM
authors.lastname: Shamloul
authors.forename: Ahmed Fathy
authors.initials: AF
authors.lastname: Aborayah
authors.forename: Assem
authors.initials: A
authors.lastname: Hashad
authors.forename: Foad
authors.initials: F
authors.lastname: Abd-Allah
mesh_terms: D000328:Adult; D045930:Anabolic Agents / Q000009:adverse effects*; D000728:Androgens / Q000009:adverse effects*; D002545:Brain Ischemia / Q000139:chemically induced* / Q000175:diagnosis; D009202:Cardiomyopathies / Q000139:chemically induced* / Q000175:diagnosis; D003937:Diagnosis, Differential; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D013256:Steroids / Q000009:adverse effects*; D019966:Substance-Related Disorders / Q000150:complications*; D014057:Tomography, X-Ray Computed
chemical_list: D045930:Anabolic Agents; D000728:Androgens; D013256:Steroids