What is it about?

Illegal steroid use gone wrong. We present an under reported aesthetically devastating side effect of the illegal use of performance enhancing drugs.

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Why is it important?

Because of the prevalent misuse of performance-enhancing drugs and the illegal nature of this practice, we believe professional and recreational athletes presenting with full-thickness wounds warrant a high index of suspicion of AAS misuse. The plastic reconstructive approach is standard in that the wound should be debrided and any infection, local or systemic, treated followed by reconstruction with the addition of using the experience as a strong deterrent from future drug abuse.

Perspectives

In a world full of "fake news", it is not surprising to find many people miss informed and engaging in potentially dangerous activities even with the best of intentions. I believe that a high index of suspicion by the primary care giver or, as in this case, the plastic surgeon dedicated to solve the particular superficial problem such as an ulcer may help educate and prevent further misuse.

Dr Or Friedman
Tel Aviv Sourasky Medical Center

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This page is a summary of: Body Builder’s Nightmare, Plastic and Reconstructive Surgery Global Open, September 2016, Wolters Kluwer Health,
DOI: 10.1097/gox.0000000000001040.
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