Risperidone-induced priapism in an autistic child: a case report

Area of Science:

• Pediatric Urology
• Neuropsychopharmacology
• Autism Spectrum Disorder Treatment

Background:

• Priapism is a medical emergency involving prolonged, painful erections unrelated to sexual arousal.
• Risperidone is an atypical antipsychotic commonly used for behavioral issues in children with autism spectrum disorder.
• A potential association between risperidone use and priapism in pediatric patients has been suggested.

Observation:

• This report details a case of a 12-year-old boy with autism spectrum disorder who developed priapism.
• The patient was undergoing treatment with risperidone at the time of priapism onset.
• The clinical course and subsequent treatment decisions are presented.

Findings:

• The case highlights a rare but serious adverse event associated with risperidone in a pediatric patient.
• Priapism occurred in a child with autism spectrum disorder while on risperidone therapy.
• The report documents the management of this urological emergency.

Implications:

• Clinicians prescribing risperidone to children must be vigilant for the potential development of priapism.
• Educating caregivers about this rare side effect and appropriate actions is crucial.
• Awareness and prompt recognition can mitigate the risks associated with risperidone-induced priapism in young patients.