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Mustafa M, Hanafy E, Riyad S, Altoonisi MM, Aboulela W. Priapism as an Unusual Symptom of T-cell Acute Lymphoblastic Leukemia in a Pediatric Case. Cureus 2024; 16:e54331. [PMID: 38500890 PMCID: PMC10944801 DOI: 10.7759/cureus.54331] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/16/2024] [Indexed: 03/20/2024] Open
Abstract
Acute lymphoblastic leukemia (ALL) in pediatric patients typically presents with recognizable symptoms such as fever, pallor, and bone pain. However, atypical manifestations can complicate the diagnostic landscape. We present a unique case of a seven-year-old male with T-cell ALL whose presenting symptom was priapism. This case underscores the need for heightened awareness among healthcare professionals regarding the diverse clinical presentations of leukemia, emphasizing the importance of a multidisciplinary team approach for comprehensive evaluation and management. Our seven-year-old patient presented with priapism. A comprehensive diagnostic workup, including complete blood counts and subsequent bone marrow examination, led to the diagnosis of T-cell ALL. Given the rare presentation, a multidisciplinary team consisting of pediatric oncologists/hematologists, urologists, and other relevant specialists collaborated to formulate a tailored treatment plan. The patient received an intensified chemotherapy regimen, resulting in the resolution of priapism and hematologic improvement. Priapism as an initial presentation of T-cell ALL in a pediatric patient is an exceptional occurrence, necessitating a specialized and collaborative approach to diagnosis and management. This case report highlights the importance of interdisciplinary coordination involving pediatric oncologists and urologists in addressing the unique challenges posed by atypical leukemia presentations. The rarity of this manifestation emphasizes the need for further research to elucidate the underlying mechanisms and establish optimal management strategies for similar cases.
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Affiliation(s)
| | - Ehab Hanafy
- Prince Sultan Oncology Center, King Salman Armed Forces Hospital, Tabuk, SAU
| | - Shaima Riyad
- Prince Sultan Oncology Center, King Salman Armed Forces Hospital, Tabuk, SAU
| | | | - Waseem Aboulela
- Urology Department, King Salman Armed Forces Hospital, Tabuk, SAU
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Bintoro SUY, Romadhon PZ, Suryantoro SD, Aminy RZ, Windradi C, Widiyastuti KN. Case Report: Priapism as The Clinical Presenting Feature of Chronic Myeloid Leukemia: Case Report and 20-Year Literature Review. F1000Res 2022; 10:571. [PMID: 35087660 PMCID: PMC8762679 DOI: 10.12688/f1000research.53365.2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 12/06/2021] [Indexed: 11/25/2022] Open
Abstract
Priapism in chronic myeloid leukemia (CML) appears to be an infrequent manifestation as well as a crucial emergency. Here, we report an 18-year-old male presenting with a persistent erection of the penis for 20 days. We evaluated and compared the reported cases within 20 years discussing the management of priapism in CML. Cytoreductive therapy followed by leukapheresis, the administration of tyrosine kinase inhibitor, and intra-cavernosal blood aspiration may resolve the symptoms of priapism. Early intervention for cytoreduction and aspiration are the pivotal keys to successfully impeding the complications.
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Affiliation(s)
- Siprianus Ugroseno Yudho Bintoro
- Department of Internal Medicine, Airlangga University, Faculty of Medicine, Surabaya, East Java, 60131, Indonesia.,General Teaching Hospital Dr. Soetomo, Surabaya, East Java, 60286, Indonesia
| | - Pradana Zaky Romadhon
- Department of Internal Medicine, Airlangga University, Faculty of Medicine, Surabaya, East Java, 60131, Indonesia.,General Teaching Hospital Dr. Soetomo, Surabaya, East Java, 60286, Indonesia
| | - Satriyo Dwi Suryantoro
- Department of Internal Medicine, Airlangga University, Faculty of Medicine, Surabaya, East Java, 60131, Indonesia.,Universitas Airlangga Hospital, Surabaya, East Java, 60115, Indonesia
| | - Rusdi Zakki Aminy
- Department of Internal Medicine, Airlangga University, Faculty of Medicine, Surabaya, East Java, 60131, Indonesia
| | - Choirina Windradi
- Universitas Airlangga Hospital, Surabaya, East Java, 60115, Indonesia
| | - Krisnina Nurul Widiyastuti
- Department of Internal Medicine, Airlangga University, Faculty of Medicine, Surabaya, East Java, 60131, Indonesia
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