Cutaneous Manifestations of Anabolic-Androgenic Steroid Use in Athletes

The review from 2009 discusses the widespread use of anabolic-androgenic steroids (AAS) among athletes, with usage rates varying from 5% to over 90% in certain groups. It outlines the dermatological side effects of AAS, including acne, alopecia, increased body hair, oily skin and hair, and scalp hair loss. The paper also mentions that AAS can worsen pre-existing skin conditions like acne vulgaris and psoriasis and may cause new conditions such as striae distensae and linear keloids. In female athletes, signs of AAS use can include hirsutism and androgenic alopecia. The review stresses the importance of dermatologists in recognizing these skin changes as potential indicators of AAS abuse and the need for careful prescribing of hepatotoxic drugs to athletes. It also emphasizes the importance of a confidential patient-physician relationship for discussing steroid abuse and preventing permanent damage.