Steroid-Induced Hyperglycaemia in a Patient With Possible Body Dissatisfaction: A Case Report

Steroid use for body enhancement was historically associated with bodybuilding and skin bleaching, but now may be gaining traction as a means of non-surgical cosmetic enhancement for young women unsatisfied with parts of their body, such as the buttocks and hips. Here, the side effects of steroids, such as fluid retention and weight gain, are marketed as positive outcomes. This case report describes a young African woman who presents with persistent hyperglycaemia, frequency, dysuria, and malaise after four months of taking dexamethasone tablets to gain a curvier frame. This case offers an opportunity to reassess our approach to history taking in young people presenting with hyperglycaemia and otherwise no family history of diabetes, especially in low- and middle-income countries (LMICs). Early identification of steroid abuse will enable further screening for comorbid mental health conditions, such as eating disorders and substance abuse, which are often associated with body dissatisfaction.