Abuse of anabolic‐androgenic steroids and bodybuilding acne: an underestimated health problem

@article{Melnik2007AbuseOA,
  title={Abuse of anabolic‐androgenic steroids and bodybuilding acne: an underestimated health problem},
  author={Bodo C Melnik and Thomas Jansen and Stephan Grabbe},
  journal={JDDG: Journal der Deutschen Dermatologischen Gesellschaft},
  year={2007},
  volume={5}
}
Abuse of anabolic‐androgenic steroids (AAS) by members of fitness centers and others in Germany has reached alarming dimensions. The health care system provides the illegal AAS to 48.1 % of abusers. Physicians are involved in illegal prescription of AAS and monitoring of 32.1 % of AAS abusers. Besides health‐threatening cardiovascular, hepatotoxic and psychiatric long‐term side effects of AAS, acne occurs in about 50 % of AAS abusers and is an important clinical indicator of AAS abuse… 
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Cutaneous manifestations of anabolic–androgenic steroid use in athletes
TLDR
Cutaneous manifestations develop early in the use of anabolic-androgenic steroids, placing dermatologists in a unique position to make an early diagnosis of AAS abuse in patients who engage in competitive sports.
Medical consequences of long-term anabolic-androgenic Steroids (AASs) abuses in athletes
TLDR
The potential benefits of anabolic-androgenic steroids were not enough for consumers; therefore, identification and prevention of adverse effects on athletes taking these medications should be warned.
Testosterone and Anabolic Steroid Abuse
TLDR
The management of patients presenting with infertility following AAS abuse entails substance discontinuation followed by medical therapy to regenerate the endocrine axis and stimulate testicular function.
Cardiovascular risk and androgenic anabolic steroids
TLDR
The evidence for AAS having a negative effect on the cardiac and vascular tissue and the corresponding risk of developing cardiovascular disease is examined.
Side effects of anabolic androgenic steroids: pathological findings and structure-activity relationships.
TLDR
Typical abundant observations in cases where nonnatural deaths were concurrent with steroid abuse are reviewed, and frequent associations between structural characteristics and typical side effects are summarized.
Androgen abuse in the community
  • B. Melnik
  • Medicine
    Current opinion in endocrinology, diabetes, and obesity
  • 2009
TLDR
The use of androgens has changed from being a problem restricted to sports to one of public health concern and an increasing prevalence of androgen misuse in combination with other growth-promoting hormones and insulinotropic milk protein products has to be expected, which may have further promoting effects on the prevalence of chronic western diseases.
Consequences of the Use of Anabolic-Androgenic Steroids on Female Athletes’ Fertility
TLDR
Evidence supports the abuse of steroids can adversely affect the fertility and reproductive organs of women severely and the use of AAS is a prohibited practice.
Exogenous Supraphysiological Doses of Anabolic-Androgenic Steroids:Controversial and Reciprocal Effects on Performance and Organs
TLDR
There is no controlled study showing that testosterone derivatives significantly increase lean body mass or strength in people, so effectiveness of these drugs depend on many factors including doses, combinations of AAS, type of abuse, duration, types of training, individual differences, fitness level or training status.
Anabolic-androgenic steroids (AAS) users on AAS use: Negative effects, 'code of silence', and implications for forensic and medical professionals.
TLDR
An account of the negatives aspects of AAS as put forwards by users, and the 'code of silence' that exists around AAS use is highlighted, making AAS users a 'hard-to-reach' group for medical professionals.
Quantitative Influence of Exogenous Androgens on Serum Lipid Profile and Endocrine Functions
TLDR
Results indicate that AAS have a more profound endocrine effect on the hypothalamic-pituitary-adrenal -axis than previously known and long term perturbation of endocrine parameters and cholesterol metabolism after discontinued abuse of anabolic androgenic steroids.
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