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Case Report
Recurrent priapism as the presenting sign of undiagnosed multiple myeloma: A case report
1 MD, Emergency Medicine, NYC+HHC/Lincoln, The Bronx, NY, USA
2 DO, Emergency Medicine, NYC+HHC/Lincoln, The Bronx, NY, USA
Address correspondence to:
Shayan Azizi
Department of Emergency Medicine, Lincoln Medical Center, 234 E 149th Street, The Bronx, NY 10451,
USA
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Article ID: 101431Z01CR2023
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How to cite this article
Azizi S, Costa C, Rosado CE, Bomann G, Luong JV, Jones M. Recurrent priapism as the presenting sign of undiagnosed multiple myeloma: A case report. Int J Case Rep Images 2023;14(2):160–163.ABSTRACT
Introduction: Priapism is a urological emergency which poses a high risk of long-term sexual dysfunction for patients if left untreated. Although the majority of priapism cases are secondary to sexual enhancement medications, there are many underlying medical disorders that may lead to unexplained and recurrent cases of priapism.
Case Report: We present the case of a 53-year-old male with schizoaffective disorder and chronic lower back pain on no medications who presented multiple times to various emergency departments for recurrent priapism requiring aspiration. Ultimately, the patient presented to the emergency department after a fall, and labs revealed hypercalcemia, with serum protein electrophoresis and bone marrow biopsy confirming multiple myeloma.
Conclusion: Multiple myeloma continues to be a rare underlying etiology of recurrent priapism. This case represents the importance of performing a thorough investigation in patients with recurrent priapism for hematologic and oncologic disorders, despite there being no other insidious symptoms or signs.
Keywords: Emergency, Hematologic, Multiple myeloma, Priapism
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Author Contributions
Shayan Azizi - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Christopher Costa - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Christian E Rosado - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Grace Bomann - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Jake V Luong - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Matthew Jones - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2023 Shayan Azizi et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
