title: A jaundiced bodybuilder Cholestatic hepatitis as side effect of injectable anabolic-androgenic steroids.
abstract: The use of anabolic steroids is prevalent in recreational athletes. This case report describes a young amateur bodybuilder who was referred to our outpatient clinic with jaundice and loss of appetite due to cholestatic hepatitis. Additional tests including a liver biopsy made it likely that the hepatitis was caused by the injectable anabolic steroid trenbolone enanthate. Cholestatic hepatitis may not be limited to the use of oral anabolic-androgenic steroids, as is widely assumed. Therefore, and because of other side effects, the recreational use of all forms of anabolic steroids should be discouraged.
authors.affiliation: a Department of gastroenterology and hepatology , Martini Hospital , Groningen , The Netherlands.
authors.forename: Marije N
authors.initials: MN
authors.lastname: Boks
authors.affiliation: b Department of pathology , Martini Hospital , Groningen , The Netherlands.
authors.forename: Anton T
authors.initials: AT
authors.lastname: Tiebosch
authors.affiliation: a Department of gastroenterology and hepatology , Martini Hospital , Groningen , The Netherlands.
authors.forename: Laurens A
authors.initials: LA
authors.lastname: van der Waaij
mesh_terms: D000328:Adult; D045930:Anabolic Agents / Q000008:administration & dosage*; D056486:Chemical and Drug Induced Liver Injury / Q000175:diagnosis*; D002779:Cholestasis / Q000139:chemically induced*; D004300:Doping in Sports; D006505:Hepatitis / Q000175:diagnosis*; D006801:Humans; D008297:Male; D013256:Steroids / Q000009:adverse effects*; D014204:Trenbolone Acetate / Q000009:adverse effects; D014891:Weight Lifting
chemical_list: D045930:Anabolic Agents; D013256:Steroids; D014204:Trenbolone Acetate
keywords: Doping; anabolic androgenic steroids; cholestatic hepatitis; metabolism; trenbolone