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Al-Hwiesh A, Al-Amoudi K, Alshehabi K, Abdelgalil M, Al-Hwiesh B, Alhwiesh A, Al-Audah N, Al Solami SM, Hamza WM, Abdul-Rahman IS. Coexistence of Interstitial Nephritis and the Cellular Variant of Focal Segmental Glomerulosclerosis Secondary to Anabolic Steroid Abuse. Saudi J Kidney Dis Transpl 2022; 33:839-843. [PMID: 38018725 DOI: 10.4103/1319-2442.390263] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2023] Open
Abstract
Anabolic-androgenic steroids (AAS) have been widely used by young people to enhance performance and increase muscle mass. The use of AAS can affect the kidneys and lead to a myriad of presentations, ranging from mildly elevated serum creatinine and blood urea nitrogen to irreversible chronic kidney disease and focal segmental glomerulosclerosis (FSGS). To the best of our knowledge, the coexistence of interstitial nephritis and the cellular variant of FSGS [Immunoglobulin M (IgM)] secondary to AAS abuse has not been previously reported in the literature. Here, we report the case of a 40-year-old bodybuilder who developed simultaneous interstitial nephritis and the cellular variant of FSGS (IgM) after short-term use of AAS and other dietary supplements.
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Affiliation(s)
- Abdullah Al-Hwiesh
- Department of Internal Medicine, Division of Nephrology, King Fahd Hospital of the University, Al-Khobar, Saudi Arabia
- Department of Nephrology, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Khalid Al-Amoudi
- Department of Internal Medicine, Division of Nephrology, King Fahd Hospital of the University, Al-Khobar, Saudi Arabia
- Department of Nephrology, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Khadija Alshehabi
- Department of Internal Medicine, Division of Nephrology, King Fahd Hospital of the University, Al-Khobar, Saudi Arabia
- Department of Nephrology, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Muaz Abdelgalil
- Department of Internal Medicine, Division of Nephrology, King Fahd Hospital of the University, Al-Khobar, Saudi Arabia
- Department of Nephrology, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Bardan Al-Hwiesh
- Department of Internal Medicine, Division of Nephrology, King Fahd Hospital of the University, Al-Khobar, Saudi Arabia
- Department of Nephrology, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Amani Alhwiesh
- Department of Internal Medicine, Division of Nephrology, King Fahd Hospital of the University, Al-Khobar, Saudi Arabia
- Department of Nephrology, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Nadia Al-Audah
- Department of Pathology, Dammam Regional Hospital, Dammam, Saudi Arabia
| | - Sana M Al Solami
- Department of Pathology, Dammam Regional Hospital, Dammam, Saudi Arabia
| | - Wael Mostafa Hamza
- Department of Nephrology, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
- Department of Pathology, King Fahd Hospital of the University, Al-Khobar, Saudi Arabia
| | - Ibrahiem Saeed Abdul-Rahman
- Department of Internal Medicine, Division of Nephrology, King Fahd Hospital of the University, Al-Khobar, Saudi Arabia
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