title: A rare but significant cause of priapism in the elderly: multiple myeloma.
abstract: Priapism is a rare symptom with diverse etiological factors. Although most cases in adults are secondary to drug use and intracavernosal injections, blood dyscrasias and hypercoagulable states, vasculitis, penile metastases, neurological conditions, spider bites, carbon monoxide poisoning, and total parenteral nutrition may also result in priapism. We report a case of recurrent and refractory priapism in a 61-year-old man which was diagnosed as multiple myeloma after emergence of hypercalcemia and renal failure due to progression of the underlying pathology. The value of the initial diagnostic approach is emphasized.
authors.affiliation: Department of Internal Medicine, Istanbul Medical School, Istanbul University, Capa, 34390, Istanbul, Turkey. gbahatozturk@yahoo.com.
authors.forename: Gulistan
authors.initials: G
authors.lastname: Bahat
authors.forename: Fatih
authors.initials: F
authors.lastname: Tufan
authors.forename: Sibel
authors.initials: S
authors.lastname: Akin
authors.forename: Kadri
authors.initials: K
authors.lastname: Atay
authors.forename: Bulent
authors.initials: B
authors.lastname: Saka
authors.forename: Omer
authors.initials: O
authors.lastname: Kutlu
authors.forename: Cemil
authors.initials: C
authors.lastname: Tascioglu
mesh_terms: D006801:Humans; D006934:Hypercalcemia / Q000175:diagnosis / Q000209:etiology; D008297:Male; D008875:Middle Aged; D009101:Multiple Myeloma / Q000150:complications* / Q000175:diagnosis*; D011317:Priapism / Q000175:diagnosis* / Q000209:etiology*; D012008:Recurrence; D051437:Renal Insufficiency / Q000175:diagnosis / Q000209:etiology