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The first case of neonatal priapism during hypothermia for hypoxic-ischemic
encephalopathy and a literature review
#MMPMID30053817
Fanni C
; Marcialis MA
; Pintus MC
; Loddo C
; Fanos V
Ital J Pediatr
2018[Jul]; 44
(1
): 85
PMID30053817
show ga
Neonatal priapism is a rare condition with only 26 described cases in literature
since 1879. It is defined as a persistent penile erection occurring in the first
28 days of life, lasting at least 4 h that usually happens in the first days
(from 2 to 12 days). It is a very different condition compared to the adult one
because in newborns it is a relatively benign phenomenon. As a result of this
paucity of described cases, classification and management are not well known by
most of neonatologists and currently there are no established guidelines for its
management. Most cases are idiopathic but other aetiologies are possible
(polycythemia, blood transfusion and drugs). We describe our only case, which
occurred during hypothermia therapy and review the literature to clarify the best
choice in management of this rare entity.
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