[Nephrocalcinosis associated with the use of anabolic steroid].
The anabolic steroid have been used as a therapeutic tool in various clinical conditions. However, indiscriminate use associated with other nutritional supplements has generated serious adverse effects.


METHODS
Male, 21 years old, admitted with nausea, fatigue, appetite loss, headache and hypertension. Blood tests showed Cr: 3.9 mg% U: 100 mg% and Total Calcium 14 mg/dl. Ultrasonography and renal biopsy were consistent with nephrocalcinosis. There has been gradual improvement in renal function and calcium levels after vigorous hydration and furosemide. However, after 1 year, renal calcium deposits persist, corticomedullary ratio reduced in ultrasound and stable creatinine of 1.4 mg/dl. Previous cases showed acute tubular necrosis and interstitial nephritis with little calcium deposits in the renal interstitium. In this case we found severe nephrocalcinosis associated with nephrosclerosis. Our objective is to report the occurrence of acute kidney Injury with nephrocalcinosis associated with use of anabolic steroid and provide a review of the matter.
Universidade Federal do Espirito Santo, Brasil.
Weverton Machado
WM
Luchi
Hospital Central do Exército, Rio de Janeiro, Brasil.
Rodrigo Nasser
RN
Ricarte
Hospital Central do Exército, Rio de Janeiro, Brasil.
Luciana Fernandes
LF
Roitman
Universidade Federal do Rio de Janeiro, Brasil.
Omar da Rosa
Oda R
Santos
D006801:Humans; D008297:Male; D009397:Nephrocalcinosis / Q000139:chemically induced*; D045165:Testosterone Congeners / Q000009:adverse effects*; D055815:Young Adult
D045165:Testosterone Congeners