Table 2 Cases of acute pancreatitis associated with drugs related to weightlifting or bodybuilding
From: Drug-induced acute pancreatitis in a bodybuilder: a case report
Case | Patient | Findings | Drug(s) taken | Delay between introduction of the drug and pancreatitis | Rechallenge | Outcome |
|---|---|---|---|---|---|---|
Safizadeh Shabestari et al. 2021 (our case) | 31-year-old male | Elevated amylase and lipase, with CT abdomen showing pancreatitis | Fluoxymesterone, mesterolone, drostanolone propionate, stanozolol, tamoxifen, testosterone enanthate, testosterone propionate, clenbuterol, and growth hormone | 1 month | Not performed | Clinical improvement with fluid hydration and pain management |
Kumar et al. [16] | 24-year-old male | Elevated amylase and lipase, with CT abdomen showing pancreatitis | Trenbolone acetate | Several months | Not performed | Clinical improvement with conservative treatment |
Binet et al. [27] | 28-year-old male | Isolated elevation of lipase, with CT abdomen showing pancreatitis | l-Arginine alpha-ketoglutarate and other vitamins and supplements | 18 months | Not performed | Clinical improvement with conservative treatment |
Liane et al. 2016 [5] | 20-year-old male | Elevated amylase and lipase, LDH, and CK, with CT abdomen showing pancreatitis | Anabolic–androgenic steroid called “Guerilla Warfare” | 1 month | Not performed | Clinical improvement with fluid hydration and pain management |
Garg [17] | 28-year-old male | Elevated amylase and lipase, with ultrasonography abdomen showing pancreatitis | Anabolic–androgenic steroid | Data unavailable | Not performed | Patient died |
Rosenfeld et al. [28] | 50-year-old male | Elevated lipase and triglycerides, with CT abdomen showing pancreatitis | Methandrostenolone | 2 months | Not performed | Supportive therapy |
Schäfer et al. [29] | 26-year-old male | Hypercalcemia and elevated lactate dehydrogenase and pancreatic amylase, with CT abdomen showing pancreatitis | Oxymetholone, nandrolone decanoate, testosterone, epitestosterone, and erythropoietin | After second annual injection cycle | Not performed | Aggressive intravenous rehydration, transferred to intensive care unit because of anuria |
Samaha et al. [2] | 24-year-old male | Leukocytosis with left shift, hypercalcemia, and elevated amylase, lipase, and CPK | Testosterone | 2 months | Not performed | Slow clinical improvement with fluid hydration and pain management |
Rutten et al. [21] | 40-year-old male | Elevated amylase and CRP with abdominal ultrasonography | Growth hormone | 2 weeks | Not performed | Conservative treatment |
Saka et al. [15] | 16-year-old male | Elevated amylase and lipase with CT abdomen showing pancreatitis | l-Arginine and zinc | 5 months | Not performed | Clinical improvement with ciprofloxacin, fluids, and bowel rest |