The Semantics of Priapism and the First Sign of Chronic Myeloid Leukemia. (30th May 2017)

• Record Type: Journal Article
• Authors: Minckler, Michael R.; Conser, Ellie; Figueroa, Javier J.; Scott, Aaron J.; Gaither, Joshua; Amini, Richard
• Other Names: Sowande Oludayo A. Academic Editor.
• Is Part Of: Case reports in emergency medicine. Volume 2017(2017)
• Publication Date: 2017-05-30
• Subjects: Emergency medicine -- Periodicals; Emergency Medicine; Emergency medicine; Periodicals; Periodicals; Case Reports; Fulltext; Internet Resources; Periodicals; 616.025
• DOI: 10.1155/2017/2656203
• Languages: English
• ISSNs: 2090-648X

Abstract

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.