PMID- 27753588
OWN - NLM
STAT- MEDLINE
DCOM- 20170710
LR  - 20171215
IS  - 1930-613X (Electronic)
IS  - 0026-4075 (Linking)
VI  - 181
IP  - 10
DP  - 2016 Oct
TI  - Guerilla Warfare on the Pancreas? A Case of Acute Pancreatitis From a Supplement 
      Known to Contain Anabolic-Androgenic Steroids.
PG  - e1395-e1397
AB  - INTRODUCTION: Performance-enhancing drugs (PEDs) are commonly consumed in the 
      United States with high prevalence of use in athlete populations and increased 
      use by deployed service members. Many PEDs may contain anabolic-androgenic 
      steroids (AAS), which are legally restricted and prohibited by many agencies due 
      to their health risk. CASE DESCRIPTION: A unique case of acute pancreatitis 
      associated with the use of the PED "Guerilla Warfare," a labeled AAS-containing 
      supplement, is presented. The patient is a healthy 20-year-old male Marine who 
      presented with multiple episodes of abdominal cramps each day for a month with 
      decreased appetite and nonbilious vomiting. He reported a 6-week history of 
      "Guerilla Warfare" PED use and review of systems identified fatigue and 12 lb 
      reported weight loss. He presented with normal vital signs, tenderness in upper 
      abdominal quadrants, elevated lipase (909 units/L), lactate dehydrogenase (193 
      units/L), and an enlarged pancreas with surrounding inflammation on computed 
      tomography. SUMMARY: This constitutes the first report of acute pancreatitis with 
      the use of "Guerilla Warfare," and the second reported case with the use of any 
      AAS-containing PED. Increased awareness of significant PED-associated adverse 
      effects by both the civilian and military communities is needed to better 
      characterize these risks moving forward.
CI  - Reprint & Copyright (c) 2016 Association of Military Surgeons of the U.S.
FAU - Liane, Billy-Joe
AU  - Liane BJ
AD  - Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, 
      Bethesda, MD 20814.
FAU - Magee, Charles
AU  - Magee C
AD  - Department of Medicine, Uniformed Services University of the Health Sciences, 
      4301 Jones Bridge Road, Bethesda, MD 20814.
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - England
TA  - Mil Med
JT  - Military medicine
JID - 2984771R
RN  - 0 (Performance-Enhancing Substances)
RN  - 0 (Testosterone Congeners)
SB  - IM
MH  - Dietary Supplements/adverse effects
MH  - Humans
MH  - Male
MH  - *Military Personnel
MH  - Pancreas/*drug effects/physiopathology
MH  - Pancreatitis/*etiology
MH  - Performance-Enhancing Substances/adverse effects/therapeutic use
MH  - Testosterone Congeners/*adverse effects
MH  - Young Adult
EDAT- 2016/10/19 06:00
MHDA- 2017/07/14 06:00
CRDT- 2016/10/19 06:00
PHST- 2016/10/19 06:00 [pubmed]
PHST- 2017/07/14 06:00 [medline]
PHST- 2016/10/19 06:00 [entrez]
AID - 10.7205/MILMED-D-15-00575 [doi]
PST - ppublish
SO  - Mil Med. 2016 Oct;181(10):e1395-e1397. doi: 10.7205/MILMED-D-15-00575.