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タイトル: | 本態性血小板血症に伴う虚血性持続勃起症の1例 |
その他のタイトル: | Ischemic Priapism Associated with Essential Thrombocythemia : A Case Report |
著者: | 松本, 侑樹 天野, 俊康 下島, 雄治 今尾, 哲也 加藤, 晴朗 |
著者名の別形: | Matsumoto, Yuki Amano, Toshiyasu Shimojima, Yuji Imao, Tetsuya Kato, Haruaki |
キーワード: | Priapism Essential thrombocythemia |
発行日: | 31-Jul-2019 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 65 |
号: | 7 |
開始ページ: | 315 |
終了ページ: | 317 |
抄録: | A 71-year-old man visited a local urologist with the complaint of continuous painful erection for three days. Penile cavernosal blood data showed acidosis and hypoxia. Thus he was diagnosed with ischemic priapism. After penile aspiration and injection of phenylephrine, erection was temporary improved. The blood platelet count was 94.5×104/μl and myeloproliferative disease was suspected. He was referred to our hospital and visited us the following day. Since priapism relapsed, we aspirated corpus cavernosum of the penis and injected phenylephrine which was successful. A bone marrow biopsy and genetic test were performed at the department of hematology and the diagnosis of essential thrombocythemia with JAK2 gene mutation was confirmed. By treatment with hydroxyurea, the blood platelet count decreased without priapism recurrence. |
著作権等: | 許諾条件により本文は2020/08/01に公開 |
DOI: | 10.14989/ActaUrolJap_65_7_315 |
URI: | http://hdl.handle.net/2433/243934 |
PubMed ID: | 31501399 |
出現コレクション: | Vol.65 No.7 |
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