European Journal of Internal Medicine
Volume 19, Issue 3 , Pages 214-215, May 2008

Pulmonary embolism associated with the use of anabolic steroids

  • Sissela Liljeqvist

      Affiliations

    • Department of Internal Medicine, Karolinska Institutet, Södersjukhuset, SE-118 83, Stockholm, Sweden
    • ,
  • Anders Helldén

      Affiliations

    • Division of Clinical Pharmacology, Karolinska Institutet, Karolinska University Hospital, SE-141 86, Huddinge, Sweden
    • ,
  • Ulf Bergman

      Affiliations

    • Division of Clinical Pharmacology, Karolinska Institutet, Karolinska University Hospital, SE-141 86, Huddinge, Sweden
    • ,
  • Mårten Söderberg

      Affiliations

    • Department of Internal Medicine, Karolinska Institutet, Södersjukhuset, SE-118 83, Stockholm, Sweden
    • Corresponding Author InformationCorresponding author. Tel.: +46 8 616 3129; fax: +46 8 616 3146.

Received 10 January 2007; accepted 9 March 2007. published online 20 September 2007.

Abstract 

We present the case of a 56-year-old man with deep vein thrombosis (DVT) and pulmonary embolism (PE). He had been given intramuscular injections of testosterone and the anabolic–androgenic steroid nandrolone, due to a muscle injury, a total of three times prior to manifestation of the symptoms. An ultrasonographic examination of the right leg revealed a DVT and computed tomography of the pulmonary arteries showed PE. The thromboembolic episodes in this previously healthy patient were in all probability associated with intramuscular injections of testosterone and nandrolone, to which there is a clear correlation in time.

Keywords: Deep vein thrombosis, Pulmonary embolism, Anabolic–androgenic steroids, Adverse effect, Nandrolone, Testosterone

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PII: S0953-6205(07)00232-4

doi:10.1016/j.ejim.2007.03.016

European Journal of Internal Medicine
Volume 19, Issue 3 , Pages 214-215, May 2008

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