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October 1969

Priapism in Acute Granulocytic Leukemia

Author Affiliations

From the Children's Cancer Research Foundation, the Children's Hospital Medical Center, and Harvard Medical School, Boston. Dr. Kim is a fellow in medicine of the Children's Hospital Medical Center, Boston.

Am J Dis Child. 1969;118(4):619-620. doi:10.1001/archpedi.1969.02100040621016

THE INCIDENCE of priapism in leukemia is possibly of the order of 1% or less.1-6 Two reports of its occurrence in childhood leukemia record its association with the chronic granulocytic form.7,8 We wish to document its occurrence as one of the presenting features in a boy with acute granulocytic leukemia and describe its management.

Report of a Case  An 11½-year-old white boy was referred to the Children's Hospital Medical Center with history of fever and pallor of several weeks' duration. During this period, he had also developed repeated gingival infections and recurrent submandibular swelling which responded to antibiotics and antiseptic mouth washes. On the day of referral, a blood count obtained by his pediatrician was reported as follows: hemoglobin level, 8.1 gm/100 cc, and white blood cell count (WBC), 70,998, with an abnormal differential count. En route to the hospital he complained of sudden severe phallic pain.Physical