A 24-year-old bodybuilder man presented
with a two months history of a progressively enlarging painful lesion on the
buttocks. On physical examination, the patient had 7 to 12 cm red-brownish
infiltrated tumefactions, with ulcerations on surface symmetrically on outer
face of buttocks without fistula (Figures 1a & 1b). There was no regional
lymphadenopathy and no other abnormalities were found. The patient was revealed
that he had intramuscular injections of anabolic androgenic steroids for 6
months (methandienone and nandrolone decanoate). Skin biopsy showed foreign
body granulomatous reaction with multi-nucleated cell.
Anabolic-Androgenic
Steroids (AAS) abuse by the athletes has dramatically increased during the
recent decades. They are used to improve athletic performance and male physical
attractiveness. Cutaneous manifestations develop early
in the use of anabolic-androgenic steroids, allowing making an early diagnosis
of AAS abuse in patients.
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