The Semantics of Priapism and the First Sign of Chronic Myeloid Leukemia.

TitleThe Semantics of Priapism and the First Sign of Chronic Myeloid Leukemia.
Publication TypeJournal Article
Year of Publication2017
AuthorsMinckler MR, Conser E, Figueroa JJ, Scott AJ, Gaither J, Amini R
JournalCase Rep Emerg Med
Volume2017
Pagination2656203
Date Published2017
ISSN Number2090-648X
Abstract

Priapism is defined as an erection that persists beyond four hours, lasting beyond or unrelated to sexual stimulation (Salonia et al., 2014). Because the risk of ischemic damage and impotence is high with priapism (35%), management guidelines are directed towards rapid treatment of this condition (Salonia et al., 2014). This report describes the rare case of an 18-year-old male who presented to the Emergency Department (ED) three times with recurrent and worsening episodes of sustained penile erections. On the patient's third visit, he presented with priapism of greater than six-hour duration that was found to be the result of chronic myeloid leukemia. Clinician awareness of the diagnostic semantics and differential diagnosis surrounding priapism is pivotal in its urgent management.

DOI10.1155/2017/2656203
Alternate JournalCase Rep Emerg Med
PubMed ID28638667
PubMed Central IDPMC5468559
Faculty Reference: 
Richard Amini, MD, RDMS
Joshua B. Gaither, MD, FACEP