Effect of leukapheresis on pain reduction in leukemic priapism

Priapism is a rare presentation of Chronic Myeloid Leukaemia (CML). It is also considered a medical emergency as delay in treatment may lead to impotence. Prompt medical and surgical interventions such as hydroxyurea, analgesia, phenylephrine injection and aspiration, open surgical shunting, and loc...

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Main Authors: Shahida Noushad, Dibyajyoti Sahoo, Abhishekh Basavarajegowda, Esha Toora, Purshotam Paudel
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Asian Journal of Transfusion Science
Subjects:
Online Access:http://www.ajts.org/article.asp?issn=0973-6247;year=2022;volume=16;issue=1;spage=124;epage=127;aulast=Noushad
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author Shahida Noushad
Dibyajyoti Sahoo
Abhishekh Basavarajegowda
Esha Toora
Purshotam Paudel
author_facet Shahida Noushad
Dibyajyoti Sahoo
Abhishekh Basavarajegowda
Esha Toora
Purshotam Paudel
author_sort Shahida Noushad
collection DOAJ
description Priapism is a rare presentation of Chronic Myeloid Leukaemia (CML). It is also considered a medical emergency as delay in treatment may lead to impotence. Prompt medical and surgical interventions such as hydroxyurea, analgesia, phenylephrine injection and aspiration, open surgical shunting, and local radiation therapy are essential. Leukapheresis effectively reduces leukocyte count rapidly and effectively, thereby an important therapy along with other standard of care in CML-induced priapism. In the present case, priapism was the presenting symptom of CML. The same was managed with various modalities such as hydroxyurea, allopurinol, antibiotics, analgesics, sedatives, phenylephrine injection, and aspiration but failed to reduce priapism pain. With a single cycle of leukapheresis, priapism pain could be reduced significantly.
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spelling doaj.art-d4f1e40deadf42a8886d2553fc3f3e8e2022-12-22T02:49:40ZengWolters Kluwer Medknow PublicationsAsian Journal of Transfusion Science0973-62471998-35652022-01-0116112412710.4103/ajts.ajts_160_21Effect of leukapheresis on pain reduction in leukemic priapismShahida NoushadDibyajyoti SahooAbhishekh BasavarajegowdaEsha TooraPurshotam PaudelPriapism is a rare presentation of Chronic Myeloid Leukaemia (CML). It is also considered a medical emergency as delay in treatment may lead to impotence. Prompt medical and surgical interventions such as hydroxyurea, analgesia, phenylephrine injection and aspiration, open surgical shunting, and local radiation therapy are essential. Leukapheresis effectively reduces leukocyte count rapidly and effectively, thereby an important therapy along with other standard of care in CML-induced priapism. In the present case, priapism was the presenting symptom of CML. The same was managed with various modalities such as hydroxyurea, allopurinol, antibiotics, analgesics, sedatives, phenylephrine injection, and aspiration but failed to reduce priapism pain. With a single cycle of leukapheresis, priapism pain could be reduced significantly.http://www.ajts.org/article.asp?issn=0973-6247;year=2022;volume=16;issue=1;spage=124;epage=127;aulast=Noushadleukapheresispainpriapism
spellingShingle Shahida Noushad
Dibyajyoti Sahoo
Abhishekh Basavarajegowda
Esha Toora
Purshotam Paudel
Effect of leukapheresis on pain reduction in leukemic priapism
Asian Journal of Transfusion Science
leukapheresis
pain
priapism
title Effect of leukapheresis on pain reduction in leukemic priapism
title_full Effect of leukapheresis on pain reduction in leukemic priapism
title_fullStr Effect of leukapheresis on pain reduction in leukemic priapism
title_full_unstemmed Effect of leukapheresis on pain reduction in leukemic priapism
title_short Effect of leukapheresis on pain reduction in leukemic priapism
title_sort effect of leukapheresis on pain reduction in leukemic priapism
topic leukapheresis
pain
priapism
url http://www.ajts.org/article.asp?issn=0973-6247;year=2022;volume=16;issue=1;spage=124;epage=127;aulast=Noushad
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AT abhishekhbasavarajegowda effectofleukapheresisonpainreductioninleukemicpriapism
AT eshatoora effectofleukapheresisonpainreductioninleukemicpriapism
AT purshotampaudel effectofleukapheresisonpainreductioninleukemicpriapism