Evidence map›Paper›PMID 37640416›Full record

ArticleBMJ case reports2023

Pulmonary haemorrhage and extensive arterial thrombosis with anabolic steroid abuse.

Angad Singh, Anahat Kaur, Corbin Stephens, Ian Fekete, John Nelson, Naresh Kodwani

Open access · greenAbstract readCase Reports
In one paragraph

Article in BMJ case reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 28% 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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
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

6 authors at 2 institutions in 1 country.

Angad SinghInternal Medicine, HCA MidAmerica DIvision, Kansas City, Kansas, USA.ORCID http://orcid.org/0000-0002-6071-9266
Anahat KaurHematology and Medical Oncology, Albert Einstein College of Medicine D Samuel Gottesman Library, Bronx, New York, USA dr.anahatkaur@gmail.com.
Corbin StephensInternal Medicine, HCA MidAmerica DIvision, Kansas City, Kansas, USA.
Ian FeketeInternal Medicine, HCA MidAmerica DIvision, Kansas City, Kansas, USA.
John NelsonInternal Medicine, HCA MidAmerica DIvision, Kansas City, Kansas, USA.
Naresh KodwaniInternal Medicine, HCA MidAmerica DIvision, Kansas City, Kansas, USA.
HCA Midwest Division · USAlbert Einstein College of Medicine · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Anabolic-androgenic steroids (AASs) are commonly implicated in thromboembolic events but rarely cause diffuse alveolar haemorrhage. We report the case of a Caucasian man in his late 40s who was consuming supratherapeutic doses of AAS and presented with shortness of breath and haemoptysis. Chest imaging showed bilateral patchy infiltrates in the lungs with diffuse blood throughout the airways on bronchoscopy. Extensive infectious and autoimmune workup were unremarkable. The patient then developed right foot ischaemia and was found to have extensive aortic and bilateral lower extremity arterial thrombosis. Anticoagulation was attempted despite haemoptysis. Thrombectomy procedures were unsuccessful and the patient eventually developed worsening rhabdomyolysis requiring intubation and bilateral amputation. His clinical condition continued to worsen and he passed away 10 days after admission. This case highlights the rare synchronous occurrence of two life-threatening complications secondary to anabolic steroid abuse which can pose a significant diagnostic and therapeutic challenge for clinicians.

Indexed as

ThromboembolismThrombosisAnabolic Androgenic SteroidsHemoptysisHemorrhageHumansMaleAnabolic Androgenic SteroidsDrugs misuse (including addiction)Respiratory medicineToxicology

Identifiers

PMID37640416
PMCPMC10462977
OpenAlexW4386225895

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.