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Relief of sickle cell priapism by hydralazine. Report of a case
S Baruchel1, J Rees, M L Bernstein
1Division of Hematology, McGill University, Montreal, Quebec, Canada.
Abstract:
We report a 16-year-old Tanner IV male with homozygous hemoglobin S who presented with recurrent episodes of priapism unresponsive to standard therapy with hydration, analgesia, and exchange transfusion. He had a complete resolution of his symptoms with hydralazine therapy. We therefore suggest a trial of vasodilator therapy for recurrent sickle cell priapism before attempting surgical therapy.