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Conservative management of priapism secondary to leukemia
Author(s) -
Castagnetti Marco,
Sainati Laura,
Giona Fiorina,
Varotto Stefania,
Carli Modesto,
Rigamonti Waifro
Publication year - 2008
Publication title -
pediatric blood and cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.116
H-Index - 105
eISSN - 1545-5017
pISSN - 1545-5009
DOI - 10.1002/pbc.21628
Subject(s) - medicine , priapism , thrombocytosis , myeloid leukemia , conservative management , blood cancer , erectile dysfunction , anemia , hydroxycarbamide , surgery , chemotherapy , pediatrics , cancer , platelet
We report four cases of leukemia (three chronic myeloid and one T‐cell acute lymphoblastic) presenting with priapism in children 9‐ to 13‐year old. All of them presented with hyperleukocytosis, and three had anemia plus thrombocytosis. All patients underwent chemotherapy and two had leukopheresis. In all cases, priapism was managed conservatively. Erection required up to 13 days to start improving but none of the patients developed clinical evidence of long‐term erectile dysfunction. Based on these cases, conservative management of priapism in children with leukemia might be adequate and not lead to long‐term erectile dysfunction. Pediatr Blood Cancer 2008;51:420–423. © 2008 Wiley‐Liss, Inc.