Complicated Cases in GI

Anthony Kalloo, MD; Jonathan M. Buscaglia, MD

Chapter 43: New-Onset Jaundice In a Bodybuilder (continued)

Michel Kafrouni, MD

A 40-year-old, African American man who is a bodybuilder presented with a chief complaint of progressive jaundice, dark colored urine, weakness, pruritus, and 17 lbs of weight loss. There was no history of abdominal pain or altered mental status. Past medical history was significant only for hypertension. Current medications consisted of only a daily multivitamin. As part of his weight-lifting regimen, he used Superdrol (methasteron), an anabolic androgenic steroid (AAS), which he obtained from a health food store. He took 20 mg daily for a total of 6 weeks and stopped this regimen 2 months…
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