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[与法布里病相关的阴茎异常勃起]

[Priapism associated with Fabry's disease].

作者信息

Jaureguizar Monereo E, López Pereira P, Cabo J, Gutiérrez J M, García-Consuegra J, Martínez Olivas J, López Santamaría M

机构信息

Unidad de Urología Pediátrica, Hospital Infantil La Paz, Madrid.

出版信息

Cir Pediatr. 1990 Jul;3(3):138-40.

PMID:2127372
Abstract

We present a rare case of priapism in a child, ten years old, in association with Fabry's disease. The child had a history of disseminated nodular enlargement, crises of fever, intermittent pain in the extremities and ten hours persistent painful erection of the penis. We don't obtain pain or erection relief with sedation, epidural block and irrigation of the corporal bodies. A saphenous-cavernous shunt, in the Grayhack fashion made, being results satisfactory. In the follow-up, the child had sporadic pain in the extremities and no erection of the penis. The cavernosography showed the shunt open. Fabry's disease was confirmed by nodular biopsy and the demonstration of deficient alpha-galactosidase.

摘要

我们报告一例10岁儿童患阴茎异常勃起合并法布里病的罕见病例。该患儿有弥漫性结节性肿大病史、发热危象、四肢间歇性疼痛以及阴茎持续疼痛性勃起10小时。我们通过镇静、硬膜外阻滞和海绵体冲洗均未能缓解疼痛或阴茎勃起。采用格雷哈克术式进行了大隐静脉-海绵体分流术,效果满意。随访期间,患儿四肢偶有疼痛,阴茎未再勃起。海绵体造影显示分流开放。通过结节活检及α-半乳糖苷酶缺乏的证实确诊为法布里病。

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