Testosterone Replacement Therapy in Adolescents With Sickle Cell Disease Reverses Hypogonadism Without Promoting Priapism: A Case Report

被引:5
作者
Morrison, Belinda F. [1 ]
Madden, Wendy [2 ]
Clato-Day, Stephanie [3 ]
Gabay, Leslie [3 ]
机构
[1] Univ West Indies, Dept Surg, Kingston 7, Jamaica
[2] Univ West Indies, Sickle Cell Unit, Kingston 7, Jamaica
[3] Univ West Indies, Dept Paediat, Kingston 7, Jamaica
关键词
Testosterone; Sickle cell disease; Hypogonadism; Priapism;
D O I
10.1016/j.eucr.2015.07.006
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Delayed puberty secondary to hypogonadism is commonly seen in sickle cell disease (SCD), affecting normal growth and development. The condition is rarely treated in SCD for fear of inducing priapism episodes. We present a case report of an Afro-Jamaican adolescent male at 16 years of age who presented with symptoms of delayed puberty as well as frequent stuttering priapism episodes. Endocrinological assessment revealed low serum total testosterone levels. Treatment was commenced monthly with testosterone enanthate which resulted in improved symptoms of delayed puberty, improvement in anthropometric parameters while apparently ameliorating priapism episodes. (C) 2015 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY-NC-ND license.
引用
收藏
页码:179 / 180
页数:2
相关论文
共 5 条
[1]   Phosphodiesterase-5A dysregulation in penile erectile tissue is a mechanism of priapism [J].
Champion, HC ;
Bivalacqua, TJ ;
Takimoto, E ;
Kass, DA ;
Burnett, AL .
PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA, 2005, 102 (05) :1661-1666
[2]   PRIAPISM AND IMPOTENCE IN HOMOZYGOUS SICKLE-CELL DISEASE [J].
EMOND, AM ;
HOLMAN, R ;
HAYES, RJ ;
SERJEANT, GR .
ARCHIVES OF INTERNAL MEDICINE, 1980, 140 (11) :1434-1437
[3]   Testosterone replacement therapy does not promote priapism in hypogonadal men with sickle cell disease: 12-month safety report [J].
Morrison, B. F. ;
Reid, M. ;
Madden, W. ;
Burnett, A. L. .
ANDROLOGY, 2013, 1 (04) :576-582
[4]   Mechanism of Testosterone Deficiency in the Transgenic Sickle Cell Mouse [J].
Musicki, Biljana ;
Zhang, Yuxi ;
Chen, Haolin ;
Brown, Terry R. ;
Zirkin, Barry R. ;
Burnett, Arthur L. .
PLOS ONE, 2015, 10 (05)
[5]   Delayed Puberty [J].
Palmert, Mark R. ;
Dunkel, Leo .
NEW ENGLAND JOURNAL OF MEDICINE, 2012, 366 (05) :443-453