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Case Reports
. 2014 Feb 26:2014:bcr2013203033.
doi: 10.1136/bcr-2013-203033.

Anabolic steroids abuse-induced cardiomyopathy and ischaemic stroke in a young male patient

Reham Mohammed Shamloul  1 , Ahmed Fathy Aborayah, Assem Hashad, Foad Abd-Allah
Affiliations
Case Reports

Anabolic steroids abuse-induced cardiomyopathy and ischaemic stroke in a young male patient

Reham Mohammed Shamloul et al. BMJ Case Rep. .

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.

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Figures

Figure 1
Figure 1
The chronic left frontal infarction (black arrow) and subacute left temporoparietal infarction (white arrow).
See this image and copyright information in PMC

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