Chronic myeloid leukemia with sleep-related painful erections as a first symptom: a case report.

Abstract

BACKGROUND:

Sleep-related painful erections are characterized by deep penile pain that occurs during erections in the rapid eye movement stage of sleep.

CASE PRESENTATION:

This case presents a 43-year-old Chinese Han patient with sleep-related painful erections. Turgid painful erections (4-5 episodes of tumescence) during the sleep hours caused pain. Further, blood testing revealed an abnormal increase in white blood cells (123 × 109/L). The patient was diagnosed with chronic myeloid leukemia by bone marrow biopsy, BCR::ABL1 fusion gene testing, and Philadelphia chromosome. However, the sleep-related painful erections have dramatically decreased in frequency of erectile pain after chemotherapy for Chronic myeloid leukemia in our case.

CONCLUSION:

We considered that the occurrence of sleep-related painful erections was related to chronic myeloid leukemia and the case might be secondary sleep-related painful erections.

• Authors: Yao-Dong Han, Hong-Jie Chen
• Journal: Journal of medical case reports (J Med Case Rep) Vol. 17 Issue 1 Pg. 511 (Nov 30 2023) ISSN: 1752-1947 [Electronic] England
• PMID: 38031195 (Publication Type: Case Reports, Journal Article)
• Copyright: © 2023. The Author(s).

Topics

• Male
• Humans
• Adult
• Sleep
• Leukemia, Myelogenous, Chronic, BCR-ABL Positive (complications, diagnosis, drug therapy)
• Sleep, REM
• Chronic Disease
• REM Sleep Parasomnias (complications)
• Pain