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Blood, 1 November 2005, Vol. 106, No. 9, pp. 3264-3267.
Prepublished online as a Blood First Edition Paper on June 28, 2005; DOI 10.1182/blood-2005-04-1594.
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Submitted April 20, 2005
Accepted June 22, 2005
Hemolysis associated priapism in sickle cell disease
Vikki G Nolan, Diego F Wyszynski, Lindsay A Farrer, and Martin H Steinberg*
Department of Medicine, Boston University School of Medicine, Boston, MA, USA
Department of Medicine, Boston University School of Medicine, Boston, MA, USA; Boston University School of Public Health, Boston, MA, USA
* Corresponding author; email: mhsteinb{at}bu.edu.
Priapism, though uncommon in the general population, is one of the many serious complications associated with sickle cell disease (SCD). Few studies have described the clinical and hematological characteristics of individuals with priapism and SCD. Using data from the Cooperative Study for Sickle Cell Disease, we assembled 273 cases with priapism and 979 controls. Cases, compared with controls, had significantly lower levels of hemoglobin, higher levels of lactate dehydrogenase, bilirubin, and aspartate aminotransferase, and higher reticulocyte, white blood cell and platelet counts. These findings suggest an association of priapism with increased hemolysis. Hemolysis decreases the availability of circulating nitric oxide which plays an important role in erectile function.

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