Evidence map›Paper›PMID 19387860›Full record

ReviewInternational urology and nephrology2009

Acute kidney injury due to anabolic steroid and vitamin supplement abuse: report of two cases and a literature review.

Elizabeth F Daher, Geraldo B Silva Júnior, Anaiara L Queiroz, Lysiane M A Ramos, Silvia Q Santos, Dulce M S Barreto, Antonio Augusto C Guimarães, Célio A Barbosa, Luciano M Franco, Régia M S V Patrocínio

Abstract readCase ReportsReview
PubMed Publisher
In one paragraph

Review in International urology and nephrology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 3 pooled it
3.2field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 3 syntheses or guidelines pooled it, 54 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Guideline
  4. Article
  5. Nutritional and Non-Nutritional Strategies in Bodybuilding: Impact on Kidney Function.International journal of environmental research and public health · 2022
    Review
  6. Article
  7. Glomerular Filtration Rate and Supraphysiologic-Dose Anabolic-Androgenic Steroid Use: A Cross-sectional Cohort Study.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2020
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Vitamin D and cardiovascular risk.International urology and nephrology · 2010
    Review
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Elizabeth F DaherDivision of Nephrology, Hospital Geral de Fortaleza, Secretaria da Saúde do Estado do Ceará, Fortaleza, CE, Brazil. ef.daher@uol.com.br
Geraldo B Silva Júnior
Anaiara L Queiroz
Lysiane M A Ramos
Silvia Q Santos
Dulce M S Barreto
Antonio Augusto C Guimarães
Célio A Barbosa
Luciano M Franco
Régia M S V Patrocínio
Hospital Geral de Fortaleza · BRSecretaria da Saúde · BRUniversidade Federal do Ceará · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe use of anabolic steroids and vitamin supplements has reached alarming proportions in the last decades. Adverse effects have been documented and include virilization, feminization, adverse lipid profile, psychiatric disorders, cardiac and liver disease. Acute kidney injury (AKI) is not frequently described. The purpose of this study is to report two cases of AKI associated with anabolic steroid and vitamin supplement abuse. CASE REPORT: Two men, aged 21 and 30 years, presented to the Emergency Department with abdominal pain, nausea and vomiting. They reported the use of anabolic steroids and veterinary supplements with vitamins A, D and E. Laboratory tests showed AKI (serum urea 79 and 52 mg/dl, serum creatinine 3.9 and 1.9 mg/dl) and hypercalcemia (calcium 13.2 and 11 mEq/l). Kidney biopsies showed inflammatory interstitial nephritis and acute tubular necrosis. Treatment consisted of vigorous hydration with simultaneous use of furosemide and discontinuation of the vitamins and anabolic substances, and resulted in recovery of renal function.

conclusionsAKI is an important complication of anabolic steroid and vitamin supplement abuse. The exact pathophysiology of this type of AKI remains unclear. The main cause of renal dysfunction in these cases seems to be the vitamin D intoxication and drug-induced interstitial nephritis. It is mandatory to start early treatment for serious hypercalcemia, with vigorous venous hydration, diuretics and corticosteroids.

Indexed as

Acute Kidney InjuryAdultAnabolic AgentsHumansMaleSteroidsVitaminsYoung AdultAnabolic AgentsSteroidsVitamins

Identifiers

PMID19387860
OpenAlexW2031282194

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.