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September 1989, Vol 143, No. 9 >
Article | September 1989

Priapism Following Testosterone Therapy for Delayed Puberty FREE

L. LYNDON KEY, MD; MARYBETH C. MYERS, MD; R. LAWRENCE KROOVAND, MD; WILLIAM S. KELLY, MD
Am J Dis Child. 1989;143(9):1001-1002. doi:10.1001/archpedi.1989.02150210017011.
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Sir.—The article by Kaplowitz1 in the January 1989 issue of AJDC again underscores the usefulness of testosterone as an agent for the diagnosis and treatment of delayed puberty. The safety of this therapy is implied in this and other articles discussing this treatment modality.13 There is a statement in Kaplowitz's article, similar to that in other articles written on this subject: "Although more frequent erections were noted, this was not felt to be excessive in any patient." While such a statement appears true for the majority, it is important to note that prolonged painful erections do occur on occasion during such testosterone therapy. We have recently observed three patients who developed prolonged erections during testosterone therapy, one resulting in clinical priapism.

Patient Reports.—Patient 1.—A 14-year-7-month-old boy with Tanner stage I sexual development and a growth rate of 3.2 cm/y during the 18 months prior to

REFERENCES

1 +
Kaplowitz PB.  Diagnostic value of testosterone therapy in boys with delayed puberty . AJDC . 1989;;143:116-120.
2 +
Rosenfeld RD, Northcraft BA, Hintz RL.  A prospective, randomized study of testosterone treatment of constitutional delay of growth and development in male adolescents . Pediatrics . 1982;;69:681-687.
3 +
Wilson DM, Kei J, Hintz R, Rosenfeld RC.  Effects of testosterone therapy for pubertal delay . AJDC . 1988;;142:96-99.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

1 +
Kaplowitz PB.  Diagnostic value of testosterone therapy in boys with delayed puberty . AJDC . 1989;;143:116-120.
2 +
Rosenfeld RD, Northcraft BA, Hintz RL.  A prospective, randomized study of testosterone treatment of constitutional delay of growth and development in male adolescents . Pediatrics . 1982;;69:681-687.
3 +
Wilson DM, Kei J, Hintz R, Rosenfeld RC.  Effects of testosterone therapy for pubertal delay . AJDC . 1988;;142:96-99.

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