A 16 year old football player requests completion of a pre-participation sports physical form. He has gained 25 pounds since his last visit a year ago. On physical exam, increased muscle mass is noted along with acne and gynecomastia. You are surprised to learn from his mother that he has been suspended from school twice over the last two months for fighting.
Which of the following would be an expected finding on laboratory testing?
A. Elevated HDL cholesterol B. Elevated percentage of neutrophils on CBC C. Elevated LDL cholesterol D. Elevated free T4 levels E. Elevated growth hormone levels
Elevated ldl cholesterol-the patient described in the vignette is likely abusing anabolic steroids. these derivatives of testosterone are often used by football players, power lifters, and shot putters to increase muscle mass and definition. side effects include aggressive behavior (which is seen by some as providing a competitive edge), liver tumors and disease, decreased testicular size with associated oligospermia, elevated ldl, decreased hdl cholesterol, and accentuated closure of bony epiphyses.board testing point: recognize the manifestations and laboratory abnormalities of anabolic steroid abuse.