Acne is often present. Acne conglobata is a particularly severe form of acne that can develop during steroid abuse or even after the drug has been discontinued. Infections are a common side effect of steroid abuse because of needle sharing and unsanitary techniques used when injecting the drugs into the skin. These are similar risks to IV drug abusers with increased potential to acquire blood-borne infections such as hepatitis and HIV/AIDS . Skin abscesses may occur at injection sites and may spread to other organs of the body. Endocarditis or an infection of the heart valves is not uncommon.
Steroid use is on the rise in Australia. Recent figures from the Australian Crime Commission show that the number of steroid-linked arrests and seizures hit a record high in 2011-12. Data from the latest Australian Needle Syringe Program survey showed almost three-quarters of new needle drug users in NSW took image and performance enhancing drugs, predominantly steroids. In November last year, youth workers in Melbourne were reported as saying the number of illegal steroid users obtaining free injecting equipment is increasing, particularly among young men using late-night mobile services.