Fukkenshredded said:
To our knowledge, it is the first case of toxic hepatitis induced by androgenic/anabolic steroids with predominantly hepatocellular necrosis instead of intrahepatic cholestasis.
this does not mean that these oral steroids were not liver toxic, merely that this is the only clinically described case where the user suffered from liver cell death instead of fatty liver (the "fancy" name for which is intrahepatic cholestasis).
J Okla State Med Assoc. 1994 Sep;87(9):399-404. Related Articles, Links
Androgenic/anabolic steroid-induced intrahepatic cholestasis: a review with four additional case reports.
Gurakar A, Caraceni P, Fagiuoli S, Van Thiel DH.
Oklahoma Transplantation Institute, Baptist Medical Center of Oklahoma, Oklahoma City 73112.
Four cases of severe cholestasis attributed to anabolic/androgenic steroid usage are reported. These cases are reported because each was severely jaundiced (peak bilirubin level 62 mg/dl), developed advanced hepatic failure (Child's Class B) and was referred to a liver transplant center for consideration for liver transplantation. The hepatic dysfunction and cholestasis in each persisted for 3 months or more. Moreover, in two the hepatic dysfunction was complicated by the development of renal dysfunction and anemia requiring additional medical interventions. With prolonged medical therapy, each case recovered fully without transplantation. These cases are important because they demonstrate that drug-induced cholestasis can be prolonged, can mimic advanced liver disease, and can be associated with co-existent renal dysfunction.
Schweiz Rundsch Med Prax. 2002 Sep 18;91(38):1561-4. Related Articles, Links
[Cholestatic jaundice and pruritus]
[Article in German]
Stocker C, Hardmeier B, Looser M, Scharf C, Greminger P.
Medizinische Poliklinik, Departement fur Innere Medizin, Universitatsspital Zurich.
The 38 year old male patient was admitted to our clinic with jaundice and invalidating pruritus of unknown origin. The primary evaluation made by the practitioner of the patient and the initial examinations performed in the clinic revealed no diagnosis. In particular, an infectious liver disease could be excluded. Reevaluation of anamnestic data revealed then the in-take of Dianabol, an often used anabolic steroid as the most possible reason for the cholestatic hepatopathy.