title: A Case Report of Supplement-Induced Hepatitis in an Active Duty Service Member.
abstract: The incidence of drug-induced hepatic injury has been increasing as a result of more widespread use of workout supplements containing anabolic steroids to increase muscle mass. Synthetic androgenic steroids are shown to cause cholestatic liver injury, but the exact mechanism of injury is not completely understood. We present a case of a healthy, young, active duty Army male soldier who developed pruritis and jaundice shortly after starting to take a body-building supplement containing anabolic steroids, and was subsequently found to have significant biopsy proven drug-induced liver injury.
authors.affiliation: Department of Gastroenterology, William Beaumont Army Medical Center, 5005 North Piedras St. El Paso, TX 79920.
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Brazeau
authors.affiliation: Department of Gastroenterology, William Beaumont Army Medical Center, 5005 North Piedras St. El Paso, TX 79920.
authors.forename: Joni L
authors.initials: JL
authors.lastname: Castaneda
authors.affiliation: Department of Gastroenterology, William Beaumont Army Medical Center, 5005 North Piedras St. El Paso, TX 79920.
authors.forename: Sonny S
authors.initials: SS
authors.lastname: Huitron
authors.affiliation: Department of Gastroenterology, William Beaumont Army Medical Center, 5005 North Piedras St. El Paso, TX 79920.
authors.forename: James
authors.initials: J
authors.lastname: Wang
mesh_terms: D000284:Administration, Oral; D000328:Adult; D045930:Anabolic Agents / Q000008:administration & dosage / Q000009:adverse effects*; D001706:Biopsy; D056486:Chemical and Drug Induced Liver Injury / Q000175:diagnosis / Q000209:etiology*; D019587:Dietary Supplements / Q000009:adverse effects*; D004305:Dose-Response Relationship, Drug; D006505:Hepatitis / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D008099:Liver / Q000187:drug effects / Q000473:pathology; D008111:Liver Function Tests; D008297:Male; D008889:Military Personnel
chemical_list: D045930:Anabolic Agents