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56063

Discontinuation of treatment in a chronic myeloid leukemia patient caused priapism: A case report

Article

Last updated: 22 Jan 2023

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Abstract

Priapism is an unusual andrological emergency that requires urgent intervention. It is characterized by prolonged penile erection for more than 4h not related to sexual excitation. It is classified into three main types: venoocclusive (ischemic), arterial (nonischemic) and stuttering priapism. Many causes can predispose to ischemic priapism including thalassemias, sickle cell anemia, hypercoagulable status, neoplastic syndromes, pelviabdominal tumors and use of some drugs and medications. However, in the majority of cases of ischaemic priapism no cause could be identified. Chronic myeloid leukemia (CML) is a chronic myeloprolifertative tumor that is characterized by a variety of vague clinical manifestations. Priapism as a complication of CML is a rare clinical presentation. It may cause priapism as a result of hypercoagulability due to hyperleukocytosis. Here, in this report, the case of a known CML male patient who presented with venoocclusive priapism for about 16 h after abrupt discontinuation of his cytoreductive therapy is described. Thus, all medical staff, either (General practitioners) GPs or specialized in different fields of medicine, should be aware of priapism as an emergency and that early diagnosis and multidisciplinary management minimize the inevitable damage of the erectile corpora cavernosa as well as improving the outcome

DOI

10.21608/ha.2019.14398.1045

Keywords

Andrological emergency, chronic myeloid leukemia, leukocytosis, priapism, veno-occlusive

Authors

First Name

Mohamed

Last Name

Abd El Salam

MiddleName

Ahmed

Affiliation

Department of Andrology, Sexology and STDs, Faculty of Medicine, Cairo University, Giza, Egypt

Email

moh_756@cu.edu.eg

City

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Orcid

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First Name

Noha

Last Name

Ibrahim

MiddleName

H.

Affiliation

Department of Clinical and Chemical Pathology, National Cancer Institute (NCI), Cairo University, Cairo, Egypt

Email

noha.hassan@nci.cu.edu.eg

City

-

Orcid

-

First Name

Salwa

Last Name

Hassan

MiddleName

-

Affiliation

Department of Internal Medicine, Faculty of Medicine, Cairo University

Email

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City

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Orcid

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Volume

9

Article Issue

1

Related Issue

8533

Issue Date

2019-03-01

Receive Date

2019-07-05

Publish Date

2019-03-01

Page Start

21

Page End

23

Print ISSN

2090-6048

Online ISSN

2090-6056

Link

https://ha.journals.ekb.eg/article_56063.html

Detail API

https://ha.journals.ekb.eg/service?article_code=56063

Order

4

Type

Case Report

Type Code

1,058

Publication Type

Journal

Publication Title

Human Andrology

Publication Link

https://ha.journals.ekb.eg/

MainTitle

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Details

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Article

Created At

22 Jan 2023