A 24-year-old bodybuilder presented with painful, enlarging lesions on his buttocks that had developed over the past two months. Physical examination revealed red-brown, infiltrated masses up to 12 cm in size with ulcerations symmetrically on both buttocks. The patient revealed he had been injecting anabolic steroids for bodybuilding purposes over the past 6 months. A skin biopsy showed a foreign body granulomatous reaction with multi-nucleated cells, consistent with intramuscular injections of anabolic steroids.

1. Citation: Hjira N and Boui M. Symmetric Ulcerative Tumefactions on Buttocks. Austin Addict Sci. 2017; 2(1):
1009.
Austin Addict Sci - Volume 2 Issue 1 - 2017
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Clinical Image
Symmetric Ulcerative Tumefactions on Buttocks
Hjira N* and Boui M
Department of Dermatology, University Mohammed V,
Morocco
*Corresponding author: Hjira N, Department of
Dermatology, University Mohammed V, Morocco
Received: March 26, 2017; Accepted: April 07, 2017;
Published: April 14, 2017
Clinical image
A 24-year-old bodybuilder man presented with a two months
history of a progressively enlarging painful lesion on the buttocks.
On physical examination, the patient had 7 to 12 cm red-brownish
infiltrated tumefactions, with ulcerations on surface symmetrically
on outer face of buttocks without fistula (Figures 1a & 1b). There
was no regional lymphadenopathy and no other abnormalities were
found. The patient was revealed that he had intramuscular injections
of anabolic androgenic steroids for 6 months (methandienone
and nandrolone decanoate). Skin biopsy showed foreign body
granulomatous reaction with multi-nucleated cell (Figure 2).
a
b
Figure 1:
Figure 2:
Anabolic-Androgenic Steroids (AAS) abuse by the athletes has
dramatically increased during the recent decades. They are used to
improve athletic performance and male physical attractiveness [1].
Cutaneous manifestations develop early in the use of anabolic-
androgenic steroids, allowing making an early diagnosis of AAS
abuse in patients [2].
References
1. van Amsterdam J, Opperhuizen A, Hartgens F. Adverse health effects of
anabolic-androgenic steroids. Regul Toxicol Pharmacol. 2010; 57: 117-123.
2. Walker J, Adams B. Cutaneous manifestations of anabolic-androgenic steroid
use in athletes. Int J Dermatol. 2009; 48: 1044-8.