Priapism in a patient with unstable hemoglobin: hemoglobin Köln.
We report a case of severe priapism occurring in a patient with unstable hemoglobin, hemoglobin Köln, and underline several factors that may have contributed to this complication: abnormal plasticity of red cells, splenectomy, and cytomegalovirus infection. Since emergency treatment may prevent impotence, patients and parents should be educated about this complication.
Andrieu
Valérie
V
Service d'Hématologie et d'Immunologie Biologiques, CHU Bichat-Claude Bernard, Paris, France.
Dumonceau
Olivier
O
Grange
Marie-José
MJ
D000328:Adult; D003586:Cytomegalovirus Infections / Q000150:complications; D004907:Erythrocyte Deformability; D005039:Etilefrine / Q000008:administration & dosage; D006455:Hemoglobins, Abnormal / Q000032:analysis*; D006801:Humans; D007267:Injections; D008297:Male; D011317:Priapism / Q000097:blood* / Q000188:drug therapy / Q000209:etiology / Q000821:virology; D013156:Splenectomy / Q000009:adverse effects; D014662:Vasoconstrictor Agents / Q000008:administration & dosage
D006455:Hemoglobins, Abnormal; D014662:Vasoconstrictor Agents; C034409:hemoglobin Koln; D005039:Etilefrine