Priapism in Thalassemic Patient: A Case Report

Abstract

Priapism in Thalassemic Patient:  A Case Report

Supannika      Charoen         MD*

Rachanid        Pornvipavee   MD*

*Department of Medicine, BMA Medical College and Vajira Hospital

Venous thrombosis is commonly found in thalassemic patients. This condition can be found in all age groups and in various vessels. It occurred rarely in penile vessels.  Then, priapism is an unusnal presenting symptom in thalassemic patient. Its etiologies consist of hypercoagulable state, abnormal thrombocytosis, abnormal platelet aggregation and abnormal platelet aggregation and abnormal red blood cell membrane.  This report presents and 18-year-old  Thai male patient with beta-thalassimia/Hb E admitted in the hospital from recurrent priapism for one month. His blood test revealed protein C and protein S deficiency.  After managing with anticoagulant and clot irrigation, his symptom was improved.

Key word: priapism, thrombosis, thalassemia

Vajira Med J 2006 ; 50 : 199 - 202